All-arthroscopic repair of Atzei class II and III triangular fibrocartilage complex tears using the FasT-Fix suture device
Abstract Background The study is aimed to propose an arthroscopic repair technique using a pre-tied suture device for peripheral TFCC (triangular fibrocartilage complex) tear with proximal component involvement. Methods Through a retrospective review in the medical records of patients who underwent...
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| Format: | Article |
| Language: | English |
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BMC
2021-03-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-020-02046-1 |
| _version_ | 1811212771881123840 |
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| author | Mengchun Tsai Yi-Hsuan Lin Chih-Hao Chiu Chun-Ying Cheng Yi-Sheng Chan Alvin Chao-Yu Chen |
| author_facet | Mengchun Tsai Yi-Hsuan Lin Chih-Hao Chiu Chun-Ying Cheng Yi-Sheng Chan Alvin Chao-Yu Chen |
| author_sort | Mengchun Tsai |
| collection | DOAJ |
| description | Abstract Background The study is aimed to propose an arthroscopic repair technique using a pre-tied suture device for peripheral TFCC (triangular fibrocartilage complex) tear with proximal component involvement. Methods Through a retrospective review in the medical records of patients who underwent unilateral arthroscopic repair for TFCC Palmer IB lesion between 2017 and 2019, 12 patients were arthroscopically diagnosed as proximal component tear and received more than 1 year follow-up postoperatively. The arthroscope was introduced from 6R portal to discriminate Atzei class II from III lesions by a “visualization test” and to supervise the repair procedure using pre-tied FasT-Fix suture device from 3-4 portal. Two poly-ether-ether-ketone (PEEK) blocks were further advanced along the device needle to finally seat outside the ulnar joint capsule, followed by gradually tightening the pre-tied suture loop until the TFCC periphery was securely repositioned and held stably. Results Operation time averaged 87 min. Hook test and DRUJ arthroscopy confirmed proximal component tear in all 12 wrists. Four patients were diagnosed to be Atzei class II lesion as full thickness tear of distal component was arthroscopically identified from 6R portal while the other 8 exhibited partial thickness tear and were categorized as class III lesion. Follow-up averaged 15 months with a range of 12 to 24 months. Mayo modified wrist score improved from an average of 61.3 preoperatively to 90.4 at the latest visit. Conclusions A modified technique for diagnosis and all-arthroscopic repair in TFCC Atzei class II and III lesions using a pre-tied suture device is a feasible and safe option with promising results. |
| first_indexed | 2024-04-12T05:36:02Z |
| format | Article |
| id | doaj.art-c0b24e217dba4bcebbb02a506af588e4 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-12T05:36:02Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-c0b24e217dba4bcebbb02a506af588e42022-12-22T03:45:53ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2021-03-011611710.1186/s13018-020-02046-1All-arthroscopic repair of Atzei class II and III triangular fibrocartilage complex tears using the FasT-Fix suture deviceMengchun Tsai0Yi-Hsuan Lin1Chih-Hao Chiu2Chun-Ying Cheng3Yi-Sheng Chan4Alvin Chao-Yu Chen5Bone and Joint Research Center, Department of Orthopaedic Surgery, Chang Gung Memorial Hospital–LinkouBone and Joint Research Center, Department of Orthopaedic Surgery, Chang Gung Memorial Hospital–LinkouBone and Joint Research Center, Department of Orthopaedic Surgery, Chang Gung Memorial Hospital–LinkouBone and Joint Research Center, Department of Orthopaedic Surgery, Chang Gung Memorial Hospital–LinkouBone and Joint Research Center, Department of Orthopaedic Surgery, Chang Gung Memorial Hospital–LinkouBone and Joint Research Center, Department of Orthopaedic Surgery, Chang Gung Memorial Hospital–LinkouAbstract Background The study is aimed to propose an arthroscopic repair technique using a pre-tied suture device for peripheral TFCC (triangular fibrocartilage complex) tear with proximal component involvement. Methods Through a retrospective review in the medical records of patients who underwent unilateral arthroscopic repair for TFCC Palmer IB lesion between 2017 and 2019, 12 patients were arthroscopically diagnosed as proximal component tear and received more than 1 year follow-up postoperatively. The arthroscope was introduced from 6R portal to discriminate Atzei class II from III lesions by a “visualization test” and to supervise the repair procedure using pre-tied FasT-Fix suture device from 3-4 portal. Two poly-ether-ether-ketone (PEEK) blocks were further advanced along the device needle to finally seat outside the ulnar joint capsule, followed by gradually tightening the pre-tied suture loop until the TFCC periphery was securely repositioned and held stably. Results Operation time averaged 87 min. Hook test and DRUJ arthroscopy confirmed proximal component tear in all 12 wrists. Four patients were diagnosed to be Atzei class II lesion as full thickness tear of distal component was arthroscopically identified from 6R portal while the other 8 exhibited partial thickness tear and were categorized as class III lesion. Follow-up averaged 15 months with a range of 12 to 24 months. Mayo modified wrist score improved from an average of 61.3 preoperatively to 90.4 at the latest visit. Conclusions A modified technique for diagnosis and all-arthroscopic repair in TFCC Atzei class II and III lesions using a pre-tied suture device is a feasible and safe option with promising results.https://doi.org/10.1186/s13018-020-02046-1Triangular fibrocartilage complexDistal radioulnar jointPeripheral tearArthroscopy |
| spellingShingle | Mengchun Tsai Yi-Hsuan Lin Chih-Hao Chiu Chun-Ying Cheng Yi-Sheng Chan Alvin Chao-Yu Chen All-arthroscopic repair of Atzei class II and III triangular fibrocartilage complex tears using the FasT-Fix suture device Journal of Orthopaedic Surgery and Research Triangular fibrocartilage complex Distal radioulnar joint Peripheral tear Arthroscopy |
| title | All-arthroscopic repair of Atzei class II and III triangular fibrocartilage complex tears using the FasT-Fix suture device |
| title_full | All-arthroscopic repair of Atzei class II and III triangular fibrocartilage complex tears using the FasT-Fix suture device |
| title_fullStr | All-arthroscopic repair of Atzei class II and III triangular fibrocartilage complex tears using the FasT-Fix suture device |
| title_full_unstemmed | All-arthroscopic repair of Atzei class II and III triangular fibrocartilage complex tears using the FasT-Fix suture device |
| title_short | All-arthroscopic repair of Atzei class II and III triangular fibrocartilage complex tears using the FasT-Fix suture device |
| title_sort | all arthroscopic repair of atzei class ii and iii triangular fibrocartilage complex tears using the fast fix suture device |
| topic | Triangular fibrocartilage complex Distal radioulnar joint Peripheral tear Arthroscopy |
| url | https://doi.org/10.1186/s13018-020-02046-1 |
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