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Date Published: 20/04/2023
Abstract Views: 140
Views PDF: 124
DOI: https://doi.org/10.51298/vmj.v525i1B.5131
Issue
Vol. 525 No. 1B (2023)
Section
Các bài báo
How to Cite
Trần, N. P. ., Đào , X. T. ., Bùi , H. T. K. ., Huỳnh , P. N. A. ., Lê , T. T. ., Lê , V. S. ., Nguyễn, P. C. ., & Vũ , X. T. . (2023). THE EFFECTIVENESS OF WRIST ARTHROSCOPY IN THE TREATMENT OF TRIANGULAR FIBROCARTILAGE TEARS IN ADULTS. Vietnam Medical Journal, 525(1B). https://doi.org/10.51298/vmj.v525i1B.5131

THE EFFECTIVENESS OF WRIST ARTHROSCOPY IN THE TREATMENT OF TRIANGULAR FIBROCARTILAGE TEARS IN ADULTS

Nguyễn Phương Trần1,2,, Xuân Thành Đào 3, Hồng Thiên Khanh Bùi 2,4, Phương Nguyệt Anh Huỳnh 2, Trọng Tấn Lê 2, Viết Sơn Lê 2, Phú Chân Nguyễn2, Xuân Thành Vũ 4
1 Hanoi medical university
2 University of Medicine and Pharmacy at Ho Chi Minh City hospital
3 Hanoi medicla university
4 University of Medicine and Pharmacy at Ho Chi Minh City

Main Article Content

Abstract

Introduction: TFCC tear is a prevalent cause of wrist pain on the ulnar side. There are no research in Vietnam that analyze the effectiveness of wrist arthroscopy in treating TFCC tears. The purpose of this study is to investigate the efficacy of arthroscopic TFCC repair in adults. Methods: The prospective descriptive study included 22 patients who underwent wrist arthroscopy for TFCC lesions between 1/2021 and 3/2022. MMWS and VAS are used to compare treatment outcomes before and after surgery at 1, 3, and 6 months. Results: An average follow-up of 12,68 ± 4,98 months, 95.5% of patients had pain symptoms significantly reduced after surgery 6 months. Pain score improved gradually after surgery: 6 months (0.73 ± 1 point), decreased compared to before surgery (6.95 ± 1.50 points) (p<0.001). The wrist joint function improved well compared to before surgery, which showed that the average MMWS increased from 51.3 ± 7.07 points to 94.3 ± 4.58 points (p<0.001). Evaluation wrist function after surgery 6 months found good or excellent results in 19/22 patients, 4 fair and no poor result. Regarding complications, there were no important complications. Conclusions: Wrist arthroscopy is an effective and safe method for treating TFCC lesions.

Article Details

Keywords

TFCC tear, wrist arthroscopy.

References

1. Palmer AK, Werner FW. The triangular fibrocartilage complex of the wrist-anatomy and function. J Hand Surg Am 1981;6:153–62.
2. Palmer AK, Bible B, Anderson A. The wrist - diagnosis and operative treatment. Wolters Kluwer - Lippincott Williams & Wilkins; 2010(2):857-882.
3. Corso SJ, Savoie FH, Geissler WB, et al. Arthroscopic repair of peripheral avulsions of the triangular fibrocartilage complex of the wrist: a multicenter study. Arthroscopy. 1997;13:78-84.
4. Conca M, Conca R, Pria AD. Preliminary exprience of fully arthroscopic repair of triangular fibrocartilage complex lesions. Arthroscopy. 2004; 20:79-82.
5. Chad JM, Christopher CS. Arthroscopic repair of ulnar-sided triangular fibrocartilage comlex tears. Oper Tech Orthop. 2007;17:118-124.
6. Maysara AB. Short-term evaluation of arthroscopic outside-in repair of ulna side TFCC tear with vertical mattress suture. J Orthop. 2015. 208:6.
7. Palmer AK. Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am. 1989; 14:594-606.
8. Beredjiklian PK, Bozentka DJ, Leung IL, et al. Complications of wrist arthroscopy. The Journal of Hand Surgery. 2004: 406-411