Arthroscopic knotless peripheral ulnar-sided TFCC repair.

Area of Science:

• Orthopedic Surgery
• Arthroscopy
• Sports Medicine

Background:

• Triangular fibrocartilage complex (TFCC) tears, particularly peripheral ulnar-sided tears, are frequent wrist injuries.
• Arthroscopic repair is a common treatment option for TFCC injuries.

Purpose of the Study:

• To describe a novel, all-arthroscopic knotless technique for repairing peripheral ulnar-sided TFCC tears.
• To highlight the advantages of this technique, including direct bone repair and avoidance of knot-related irritation.

Main Methods:

• The study details a surgical technique for TFCC repair performed entirely arthroscopically.
• The technique utilizes three portals and addresses both superficial and deep layers of the articular disk.
• A knotless construct is employed to secure the repair directly to the bone.

Main Results:

• The described technique allows for a complete all-arthroscopic repair of peripheral TFCC tears.
• Repair is achieved by directly reattaching the triangular fibrocartilage complex (TFCC) to the bone.
• The knotless nature of the repair minimizes potential irritation to surrounding soft tissues.

Conclusions:

• An all-arthroscopic, knotless technique offers an effective method for TFCC repair.
• This technique provides direct fixation to bone and avoids the complications associated with suture knots.
• The described approach is suitable for addressing peripheral ulnar-sided TFCC tears.