Arthroscopic Repair of TFC Lesion in Styloid Non Union (SS-47)

Abstract

IntroductionAuthors reports their exeperience in arthroscopic treatment of ulnar styloid non union associated to TFC avulsion.MethodsThe technique consist in a full arthroscopic repair of TFC using a mini anchor for bone re-attachment. The wrist is positionated in traction to create enough space to work in the wrist joint. The scope is inserted in standard portals (3-4 & 4-5) to debride the joint from synovitis and to debride the bone fragment of ulna. A mini open is performed to remove the bone fragment and to insert the anchor into the ulna. Then the strands of anchor wireless are passed through the TFC arthroscopically and a sliding knot is performed to tie the repair.ResultsWe treated few patients till now (12 patients) but the follow up is long enough - the older is 4 yeras ago - to consider this technique safe and secure. We evaluate the patients with wrist score recording improvement after surgery of all parametres, and we also checked the wrist instability with an x ray after surgery revealing a complete restore of the distal radio ulnar alignment. Post op consited in a plaster for 40 days and rehab for 3 months. All the patients returned to their original work and sport activity except one that stopped his sport (kick boxing).ConclusionOur conclusion are that this tehcnique is safe fast and is a valid alternative to open surgery, and we are going to improve the number of patients treated to check the method with also control group. IntroductionAuthors reports their exeperience in arthroscopic treatment of ulnar styloid non union associated to TFC avulsion. Authors reports their exeperience in arthroscopic treatment of ulnar styloid non union associated to TFC avulsion. MethodsThe technique consist in a full arthroscopic repair of TFC using a mini anchor for bone re-attachment. The wrist is positionated in traction to create enough space to work in the wrist joint. The scope is inserted in standard portals (3-4 & 4-5) to debride the joint from synovitis and to debride the bone fragment of ulna. A mini open is performed to remove the bone fragment and to insert the anchor into the ulna. Then the strands of anchor wireless are passed through the TFC arthroscopically and a sliding knot is performed to tie the repair. The technique consist in a full arthroscopic repair of TFC using a mini anchor for bone re-attachment. The wrist is positionated in traction to create enough space to work in the wrist joint. The scope is inserted in standard portals (3-4 & 4-5) to debride the joint from synovitis and to debride the bone fragment of ulna. A mini open is performed to remove the bone fragment and to insert the anchor into the ulna. Then the strands of anchor wireless are passed through the TFC arthroscopically and a sliding knot is performed to tie the repair. ResultsWe treated few patients till now (12 patients) but the follow up is long enough - the older is 4 yeras ago - to consider this technique safe and secure. We evaluate the patients with wrist score recording improvement after surgery of all parametres, and we also checked the wrist instability with an x ray after surgery revealing a complete restore of the distal radio ulnar alignment. Post op consited in a plaster for 40 days and rehab for 3 months. All the patients returned to their original work and sport activity except one that stopped his sport (kick boxing). We treated few patients till now (12 patients) but the follow up is long enough - the older is 4 yeras ago - to consider this technique safe and secure. We evaluate the patients with wrist score recording improvement after surgery of all parametres, and we also checked the wrist instability with an x ray after surgery revealing a complete restore of the distal radio ulnar alignment. Post op consited in a plaster for 40 days and rehab for 3 months. All the patients returned to their original work and sport activity except one that stopped his sport (kick boxing). ConclusionOur conclusion are that this tehcnique is safe fast and is a valid alternative to open surgery, and we are going to improve the number of patients treated to check the method with also control group. Our conclusion are that this tehcnique is safe fast and is a valid alternative to open surgery, and we are going to improve the number of patients treated to check the method with also control group.