Related Experiment Video
Updated: May 27, 2026
08:27
Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
Published on: May 23, 2025
Open versus arthroscopic triangular fibrocartilage repairs: a narrative review
Georges Sakhat1, Moro Chahine1, Raymonde Dahdouh1
1Orthopedics University of Balamand.
Orthopedic Reviews
|May 26, 2026
Summary
Both open and arthroscopic triangular fibrocartilage complex (TFCC) repairs offer similar wrist outcomes. The best surgical approach for TFCC tears depends on individual patient factors and tear characteristics.
Area of Science:
- Orthopedic Surgery
- Wrist Biomechanics
- Musculoskeletal Injury Management
Background:
- The triangular fibrocartilage complex (TFCC) is crucial for distal radioulnar joint (DRUJ) stability and wrist load transmission.
- While conservative treatment is effective for many TFCC injuries, surgical repair is indicated for specific tear patterns.
- Both open and arthroscopic TFCC repair techniques are utilized, with ongoing debate regarding the optimal approach.
Purpose of the Study:
- To compare open versus arthroscopic repair of the triangular fibrocartilage complex (TFCC).
- To analyze indications, surgical techniques, complication rates, and emerging strategies for TFCC repair.
- To provide guidance for clinical decision-making in managing TFCC tears.
Main Methods:
- A narrative review methodology was employed.
- Literature search conducted across PubMed, Embase, and Scopus databases from 2005 to 2025.
- Key studies comparing open and arthroscopic TFCC repair were critically reviewed and synthesized.
Main Results:
- Mid-term patient-reported outcomes are comparable between open and arthroscopic TFCC repair.
- Arthroscopic repair may offer faster early recovery and a lower risk of soft-tissue complications.
- Open repair provides direct visualization, beneficial for complex or foveal TFCC tears, though complication profiles differ.
Conclusions:
- Neither open nor arthroscopic TFCC repair demonstrates definitive superiority, with both yielding reliable results.
- Individualized technique selection based on tear characteristics, DRUJ stability, and patient factors is recommended.
- Further high-quality comparative studies are necessary to refine optimal TFCC management strategies, potentially incorporating arthroscopic advancements and biologic augmentation.