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Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

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Scoring systems for the post-thrombotic syndrome.

Arany Soosainathan¹, Hayley M Moore, Manjit S Gohel

¹Academic Section of Vascular Surgery, Department of Surgery & Cancer, Imperial College School of Medicine, Charing Cross Hospital, London, United Kingdom.

Journal of Vascular Surgery

|November 28, 2012

Summary

The Villalta score is the most effective tool for diagnosing and classifying post-thrombotic syndrome. Combining it with a quality-of-life questionnaire may improve standardization for this common deep vein thrombosis complication.

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Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

Published on: May 23, 2025

Area of Science:

Vascular Medicine
Clinical Epidemiology

Background:

Post-thrombotic syndrome (PTS) is a common chronic complication following deep vein thrombosis (DVT).
Accurate diagnosis and classification of PTS are crucial for effective management.
Several scoring systems exist, but their validity for PTS assessment requires systematic evaluation.

Purpose of the Study:

To systematically review and assess existing scoring systems for diagnosing and classifying post-thrombotic syndrome.
To determine the validity and reliability of these scoring systems based on predefined criteria.

Main Methods:

A systematic literature review was conducted following PRISMA guidelines.
Searches included PubMed and manual reference list checks for studies on PTS scoring systems.
Scoring systems were evaluated for interobserver reliability, association with venous pressures, severity assessment, change over time, and symptom correlation.

Main Results:

Six scoring systems (Villalta, Ginsberg, Brandjes, Widmer, CEAP, Venous Clinical Severity Score) were assessed.
Only the Villalta score met all predefined criteria for validity.
A key limitation of the Villalta score is its reliance on subjective measures.

Conclusions:

The Villalta score demonstrates the highest validity for diagnosing and classifying post-thrombotic syndrome.
Combining the Villalta score with a venous disease-specific quality-of-life questionnaire is recommended.
This combination may enhance standardization and address the subjective nature of current assessment tools.