Comparative outcomes between all-inside arthroscopic suture anchor technique versus arthroscopic transosseous suture technique in patients with triangular fibrocartilage complex tear: a retrospective comparative study

Chia-Hung Hung,Yu-Feng Kuo,Hsiao-Yun Cho,Yu-Jen Chen,Yeong-Jang Chen,Ping-Chun Yeh

doi:10.1186/s13018-021-02752-4

Chia-Hung Hung, Yu-Feng Kuo + Show 4 more

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https://doi.org/10.1186/s13018-021-02752-4

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Abstract

BackgroundTriangular fibrocartilage complex (TFCC) has become an interest over the last few decades, discovering its understanding in anatomy, pathomechanism, biomechanics, and management in treatments. Currently, TFCC does not have a golden standard procedure, and not one surgical procedure is superior to the other. This study is to evaluate the comparative outcomes in TFCC patients that underwent either in all-inside arthroscopic suture anchors or the arthroscopic transosseous suture technique.MethodFrom 2017 to 2019, 30 patients were analyzed. Eight patients were in an arthroscopic transosseous group and 22 patients were in an all-inside arthroscopic group. Comparison between patients’ flexion and extension range of motion (ROM), grip strength, and visual analog pain scale (VAS) preoperative and six-month follow-up were analyzed.ResultThere were significant increases in flexion ROM, extension ROM, and VAS between preoperative and postoperative in all-inside arthroscopic and arthroscopic transosseous. Only the all-inside arthroscopic group had a significant increase in grip strength. Postoperative flexion ROM had a significant difference between all-inside arthroscopic and arthroscopic transosseous.ConclusionBoth the all-inside arthroscopic suture anchor technique and the arthroscopic transosseous suture technique are appropriate treatments to treat patients with TFCC. Both procedures have achieved the ultimate goal of improved longevity and optimal function.Level of evidenceLevel III; retrospective comparative cohort study.

Highlights

Triangular fibrocartilage complex (TFCC) is one of the major causes of ulnar-sided wrist pain [1]
Postoperative flexion range of motion (ROM) had a significant difference between all-inside arthroscopic and arthroscopic transosseous. Both the all-inside arthroscopic suture anchor technique and the arthroscopic transosseous suture technique are appropriate treatments to treat patients with TFCC. Both procedures have achieved the ultimate goal of improved longevity and optimal function
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Summary

Introduction

Triangular fibrocartilage complex (TFCC) is one of the major causes of ulnar-sided wrist pain [1]. It consists of soft tissues extending from the distal radius, ulnar, fovea, and to the base of the ulnar styloid. Surgical techniques such as wrist arthroscopy are often suggested [1, 5]. There is no golden standard procedure and not one surgical procedure is superior to the other. Triangular fibrocartilage complex (TFCC) has become an interest over the last few decades, discovering its understanding in anatomy, pathomechanism, biomechanics, and management in treatments. TFCC does not have a golden standard procedure, and not one surgical procedure is superior to the other. This study is to evalu‐ ate the comparative outcomes in TFCC patients that underwent either in all-inside arthroscopic suture anchors or the arthroscopic transosseous suture technique

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Results

Conclusion