Short-term evaluation of arthroscopic outside-in repair of ulnar side TFCC tear with vertical mattress suture

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• 作者：Maysara Abdelhalim Bayoumy ; ^{mysarahalim2010@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Hesham A. Elkady ; Hatem G. Said ; Amr El-Sayed ; Waleed Riad Saleh
• 关键词：TFCC ; triangular fibrocartilage complex ; NSAIDS ; non-steroidal anti-inflammatory drugs ; DRUJ ; distal radio-ulnar joint ; MMWS ; modified Mayo wrist score ; DASH ; Disability of the Arm Shoulder and Hand ; VAS ; visual analog scale ; PRWE ; patient related wrist evaluation ; ROM ; range of motion ; ECU ; extensor carpi ulnaris
• 刊名：Journal of Orthopaedics
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：13
• 期：4
• 页码：455-460
• 全文大小：1432 K

文摘

There has been controversy regarding the pathogenesis and treatment of TFCC tear. Different surgical techniques for the treatment of TFCC are prescribed. The purpose of this study was to evaluate the short-term outcomes of arthroscopic outside-in repair of the ulnar side TFCC tear with vertical mattress suture.

Methods

In this study, arthroscopic outside-in repair of the ulnar side TFCC tear was done. 37 patients with TFCC tear with failure of conservative treatment for a minimum of 6 months had surgery. Outcomes were assessed using modified Mayo wrist score (MMWS), the Disability of the Arm, Shoulder, and Hand (DASH), visual analog scale (VAS) for pain and satisfaction criteria, and patient-related wrist evaluation score (PRWE), in addition to the range of motion and grip strength.

Results

After arthroscopic surgery, overall satisfaction was extremely positive, and out of the 37 patients, 91.9% of the patients are satisfied. The mean score for pain improved from 7.6 to 2.9 points. The mean MMWS was improved from 62.1 to 91.2 points. DASH score also improved from 29.9 to 10.2 points and PRWE improved from 60 to 33 points. The ROM was improved from 85.8% to 92% of the normal side. The grip strength of the affected side improved from 82.5% to 89% of the normal side. All improvements are statistically significant (P < 0.05).

Conclusion

Arthroscopic outside-in repair of ulnar side TFCC tear with mattress suture is a reproducible method with a marked improvement in function within a short period.