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Updated: Jul 2, 2026

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

Arthroscopic-Assisted Suture Tape-Reinforced Triangular Fibrocartilage Complex Repair and Distal Radioulnar Ligament

Jin-Ming Zhang¹, Hao-Yang Tan¹, Xing-Hao Deng¹

¹Department of Sports Medicine Sun Yat-sen Memorial Hospital Sun Yat-sen University Guangzhou P. R. China.

Arthroscopy Techniques

|July 1, 2026

Summary

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This study introduces a minimally invasive technique for wrist instability using FiberTape to augment the triangular fibrocartilage complex (TFCC) and distal radioulnar ligament. The novel approach offers immediate stability with reduced morbidity compared to traditional methods.

Area of Science:

Orthopedic Surgery
Hand and Wrist Surgery
Biomedical Engineering

Background:

Distal radioulnar joint (DRUJ) instability from triangular fibrocartilage complex (TFCC) injuries presents significant surgical challenges.
Conventional tendon graft reconstructions involve extensive dissection and morbidity.
Arthroscopic TFCC repairs may lack durability in chronic cases due to tissue quality and fixation limitations.

Purpose of the Study:

To present a modified minimally invasive technique for DRUJ stabilization.
To combine arthroscopic TFCC repair with anatomic distal radioulnar ligament augmentation.
To provide a low-morbidity alternative to traditional graft-based reconstructions.

Main Methods:

A modified technique involving arthroscopic TFCC repair with FiberTape augmentation.

Related Experiment Videos

Last Updated: Jul 2, 2026

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

Creation of a volar bone tunnel at the radial TFCC insertion for FiberTape passage.

Anatomic routing of FiberTape along the joint capsule and fixation at the ulnar fovea.

Arthroscopic visualization and suture lasso for FiberTape manipulation.

Main Results:

The technique creates a circumferential internal brace, anatomically replicating the deep distal radioulnar ligament.
Immediate biomechanical stability is achieved without tendon harvesting.
The method minimizes soft tissue disruption and allows for early postoperative mobilization.

Conclusions:

This modified technique offers a reproducible and anatomically faithful solution for DRUJ augmentation.
It provides immediate stability with reduced surgical morbidity and faster recovery.
It addresses limitations of traditional TFCC repair and reconstruction methods.