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Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
Published on: May 23, 2025
A technique for arthroscopic all-inside suturing in the wrist
F del Piñal1, F J García-Bernal, L Cagigal
1Instituto de Cirugía Plástica y de la Mano and Hospital Mutua Montañesa, Santander, Spain. drpinal@drpinal.com
The Journal of Hand Surgery, European Volume
|February 13, 2010
Summary
A novel arthroscopic technique allows all-inside wrist suturing without extra incisions. This method is effective for triangular fibrocartilage complex tears, using only a Tuohy needle.
Area of Science:
- Orthopedic Surgery
- Arthroscopy
- Wrist Anatomy
Background:
- Triangular fibrocartilage complex (TFCC) tears are common wrist injuries.
- Current surgical treatments for TFCC tears can be invasive.
- Arthroscopic techniques aim to minimize surgical invasiveness.
Purpose of the Study:
- To present a new arthroscopic all-inside suturing technique for wrist injuries.
- To describe the application of this technique for various TFCC tear types.
- To highlight the simplicity and minimal instrumentation required.
Main Methods:
- Development of an arthroscopic all-inside suturing technique.
- Application in patients with dorsal, foveal, and coronal TFCC tears.
- Utilized standard arthroscopic equipment and a Tuohy needle.
Main Results:
- Successful placement of sutures and knots within the wrist joint.
- No additional incisions were required for knot tying.
- The technique was applied to diverse TFCC tear patterns.
Conclusions:
- The presented arthroscopic all-inside suturing technique is a viable option for TFCC tears.
- This method offers a less invasive approach to wrist joint repair.
- The technique's simplicity and minimal equipment needs make it accessible.
