The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

Arthroscopic assisted repairing triangular fibrocartilage complex by transosseous fixation

Author : WEI Ben-lei1, 2, HANQing-luan2, ZHANG Lei2, LI Wei2, WANG Guo-dong2, QI Bao2, MENG Chun-yang1, 2     
Working unit : 1 Medical College, Qingdao University,Qingdao 266071, China; 2 Department of Orthopaedics, Affiliated Hospital, Jining Medical University, Jining 272029, China
Page : 918-922.
Key words : triangular fibrocartilage complex, wrist arthroscopy, transosseous fixation
Abstract: [Objective] To explore the clinical outcomes of arthroscopic assisted repairing triangular fibrocartilage complex (TFCC) Palmer type IB and ID injuries by transosseous fixation. [Methods] A retrospective study was done on 28 patients who underwent arthroscopic assisted repairing TFCC from June 2014 to July 2019 in our hospital. Based on the fixation used in repairing, 14 patients in the transosseous group had the TFCC reattached by transosseous technique, while the remaining 14 patients in the capsule group received repairing TFCC to the capsule. The preoperative documents, range of motions (ROM) , visual analogue scale (VAS) for pain and modified Mayo score, as well as paraments measured on radiographs were compared between the two groups. [Results] The patients in both groups successfully completed the operation under arthroscopy without turn to open surgery due to difficulty in anyone. The transosseous group consumed significantly longer operation time, associated with more intraoperative blood loss than the capsule group (P<0.05) , regardless no a statistical difference in incision length between them (P>0.05) . However, the transosseous group needed significantly shorter time for external fixation after operation than the capsule group (P<0.05) . At the latest follow-up of (12.604.40) months on average the ROMs in 3 planes and Mayo score significantly increased, whereas the VAS score significantly decreased compared with those before operation in both groups (P<0.05) . The transosseous group proved significantly superior to the capsule group regarding to ROMs in flexion-extension and rotation, VAS and Mayo scores at the latest follow-up (P<0.05) . With respect to radiographic assessment, the inferior radioulnar distance measured on stress X-ray films was of (1.820.36) mm in the transosseous group, while (2.310.50) mm in the capsule group, which was of statistical significance (P<0.05) . [Conclusion] This arthroscopic assisted repairing by transosseous fixation is safe and effective procedure for triangular fibrocartilage complex injuries, and is superior to the conventional debridement and repairing to the capsule.
summary:
Arthroscopic assisted repairing triangular fibrocartilage complex by transosseous fixation   
WEI Ben-lei1, 2, HANQing-luan2, ZHANG Lei2, LI Wei2, WANG Guo-dong2, QI Bao2, MENG Chun-yang1, 2
Orthop J Chin, 28(11):   918-922.