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J Wrist Surg 2023; 12(02): 104-112
DOI: 10.1055/s-0042-1757765
Scientific Article

All-Arthroscopic Triangular Fibrocartilage Complex Ligamentoplasty: Technique and Results

Vicente Carratalá 
1   Hand and Upper Limb Surgery Unit, Hospital Quirónsalud Valencia, Valencia, Spain
,
Francisco Javier Lucas
1   Hand and Upper Limb Surgery Unit, Hospital Quirónsalud Valencia, Valencia, Spain
,
Ignacio Miranda
2   Hospital Arnau de Vilanova, Valencia, Spain
,
Cristóbal Martínez
1   Hand and Upper Limb Surgery Unit, Hospital Quirónsalud Valencia, Valencia, Spain
3   Traumaunit, Teknon Clinic, Barcelona, Spain
,
Eva Guisasola
1   Hand and Upper Limb Surgery Unit, Hospital Quirónsalud Valencia, Valencia, Spain
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Abstract

Objective The aim of the study is to describe the modified all-arthroscopic technique for triangular fibrocartilage complex (TFCC) ligamentoplasty in chronic injuries of the TFCC with distal radioulnar joint (DRUJ) instability, and to present the results obtained.

Methods A prospective study was conducted including 11 consecutive patients with chronic TFCC injury with DRUJ instability who underwent an all-arthroscopic TFCC ligamentoplasty. During follow-up, the range of joint motion, grip strength, pain according to the visual analog scale (VAS), functional outcomes according to the Mayo Wrist Score (MWS), and the QuickDASH Score were measured, and any complications and necessary reinterventions were recorded

Results We analyzed 11 patients with distal radioulnar ligament injury treated using the all-arthroscopic ligamentoplasty technique. Mean follow-up was 31.5 ± 4.4 (range 12–58) months. The technique presented achieved DRUJ stability in 100% of cases at 12 months. Grip strength and pain, showed a statistically significant improvement between the preoperative score and the two postoperative assessments. Functional assessment using the QuickDASH score and the MWS also improved significantly.

Conclusion The all-arthroscopic technique for the reconstruction of irreparable peripheral TFCC tears is a reliable technique, intended not only to minimize the surgical trauma to reduce postoperative pain and to facilitate rehabilitation, but also to improve both the quality of the reconstruction and the functional outcome.

Keywords

wrist arthroscopy - triangular fibrocartilage complex - distal radioulnar joint - radioulnar ligaments - TFCC ligamentoplasty

Ethics Committee

This study was approved by the Ethics Committee of the Hospital Quirónsalud Valencia.


This study was performed in Unidad de Cirugía de Mano y Miembro Superior. Hospital Quirónsalud Valencia. Valencia, Spain.




Publication History

Received: 16 October 2021

Accepted: 28 June 2022

Article published online:
23 November 2022

© 2022. Thieme. All rights reserved.

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333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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