Transulnar Styloid Foveal TFC Reconstruction: With a Palmaris Longus Tendon Graft

Bain, Gregory I.; Tu, Chen Gang

doi:10.1097/bth.0000000000000300

Cited by 1 publication

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References 13 publications

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“…For patients with I-B injuries who have failed conservative treatment or have surgical indications, surgery is generally required. According to different types of injury, such as simple superficial ligament injury or combined deep ligament injury, the current surgical methods mainly include transarticular capsule repair, ulnar foveal ligament stop point reconstruction, ligament transplantation reconstruction, and distal radioulnar joint replacement plastic surgery [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. For patients with simple superficial ligament injury, the current mainstream repair method is the outside-in suture through the joint capsule [2,3,11,17].…”

Section: Introductionmentioning

confidence: 99%

Improved Outside-In Suture through the Joint Capsule to Repair the Palmer I-B Triangular Fibrocartilage Complex Superficial Injury

Pan

2021

Computational and Mathematical Methods in Medicine

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Background. The treatment of type I-B triangular fibrocartilage complex superficial injury is always a challenge to orthopedists. The traditional outside-in suture method often causes a risk of nervous irritation. We designed a modified outside-in suture through the joint capsule to repair the Palmer I-B triangular fibrocartilage complex superficial injury. Methods. From December 2014 to December 2018, we retrospectively collected the medical records of 18 patients in our hospital who used the modified outside-in suture through the joint capsule to repair type I-B triangular fibrocartilage complex superficial injury. Among them, there were 12 males and 6 females, with an average age of 36.2 years. There were 6 cases on the left side and 12 cases on the right side. Record the healing time of all patients after surgery and the occurrence of related complications, and record the pain visual analogue scale (VAS), grip strength, wrist flexion and extension, radioulnar deviation and forearm rotation range of motion, modified Mayo wrist joint function score, and disability of arm-shoulder-hand (DASH) score before operation and at the last follow-up. Results. One patient was lost to follow-up, and a total of 17 patients received the final follow-up. Patients were followed up for 24 to 36 months, with an average of 29.6 ± 3.0 months. No wound infection, nerve damage, or irritation occurred after the operation. At the last follow-up, 15 cases of wrist pain disappeared completely, and 2 cases had mild discomfort during exercise. At the last follow-up, VAS decreased from 3.8 ± 0.7 points before operation to 0.8 ± 0.7 points ( P < 0.05 ); grip strength increased from 15.1 ± 3.1 kg before operation to 23.2 ± 1.5 kg ( P < 0.05 ); wrist flexion and extension, radioulnar deflection, and forearm rotational mobility increased from 116.3 ± 2.2 °, 37.0 ± 3.5 °, and 141.6 ± 2.2 ° before operation to 117.2 ± 2.5 ° ( P < 0.05 ), 38.9 ± 3.0 ° ( P < 0.05 ), and 142.4 ± 1.9 ° ( P < 0.05 ), respectively; the modified Mayo wrist joint function score increased from 66.1 ± 3.6 points to 82.5 ± 3.9 points ( P < 0.05 ), of which 10 cases were excellent, 5 cases were good, 2 cases were fair, and the excellent and good rate was 88.2%; DASH score improved from 37.0 ± 5.7 points preoperatively to 8.0 ± 2.5 points ( P < 0.05 ). Conclusion. The modified outside-in suture through the joint capsule to repair the superficial injury of Palmer I-B triangular fibrocartilage complex has a good clinical effect and is worthy of clinical widespread promotion.

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Section: Introductionmentioning

confidence: 99%

Improved Outside-In Suture through the Joint Capsule to Repair the Palmer I-B Triangular Fibrocartilage Complex Superficial Injury

Pan

2021

Computational and Mathematical Methods in Medicine

View full text Add to dashboard Cite

show abstract

Transulnar Styloid Foveal TFC Reconstruction: With a Palmaris Longus Tendon Graft

Cited by 1 publication

References 13 publications

Improved Outside-In Suture through the Joint Capsule to Repair the Palmer I-B Triangular Fibrocartilage Complex Superficial Injury

Improved Outside-In Suture through the Joint Capsule to Repair the Palmer I-B Triangular Fibrocartilage Complex Superficial Injury

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