M. Fellinger et al., RADIAL AVULSION OF THE TRIANGULAR FIBROCARTILAGE COMPLEX IN ACUTE WRIST TRAUMA - A NEW TECHNIQUE FOR ARTHROSCOPIC REPAIR, Arthroscopy, 13(3), 1997, pp. 370-374
The advantages of arthroscopically assisted treatment of intraarticula
r distal radius fractures, especially the detection of additional carp
al lesions, also focus attention on special surgical techniques for op
erating on these injuries within the same session. When we consider th
e biomechanical situation, various kinds of triangular fibrocartilage
complex (TFCC) lesions, and their arthroscopic aspects, there are prob
ably two possibilities for surgical treatment that are similar to arth
roscopic meniscal surgery: resection of flap tears and the refixation
of peripherally disinserted TFCC. Avulsions from the ulnar styloid or
from the ulnar collateral ligament and the extensor carpi ulnaris tend
on can easily and satisfactorily be treated by convenient arthroscopic
suture techniques, whereas the reattachment of the triangular disc in
the sigmoid notch is very tricky. This problem is solved by a recentl
y developed surgical procedure using the so-called T-Fix-device (Acufe
x), which provides the possibility of transosseus refixation by closed
arthroscopic procedure and therefore guarantees the principle of mini
mal invasive surgery.