Yao Jeffrey
Department of Orthopaedic Surgery, Robert A. Chase Hand and Upper Limb Center, Stanford University Medical Center, 450 Broadway Street, Suite C-442, Redwood City, CA 94063, USA.
Hand Clin. 2011 Aug;27(3):237-42. doi: 10.1016/j.hcl.2011.05.004.
Injury to the triangular fibrocartilage complex (TFCC) is a major source of ulnar-sided wrist pain that results in disability with common activities of daily living involving forearm rotation, for which operative management is indicated if conservative management fails. Past results with open repairs have been successful, but recent surgical advances have allowed the development of arthroscopic management. This article describes and reviews an all-arthroscopic technique of repair of Palmer type IB TFCC injuries with FasT-Fix suture technology (Smith and Nephew, Andover, MA, USA), which is advantageous both biomechanically and in terms of decreasing risk of morbidity.
三角纤维软骨复合体（TFCC）损伤是尺侧腕部疼痛的主要原因，会导致涉及前臂旋转的日常生活常见活动出现功能障碍，若保守治疗失败则需进行手术治疗。过去开放修复的效果很成功，但最近的手术进展使得关节镜治疗得以发展。本文描述并回顾了一种使用FasT-Fix缝合技术（美国马萨诸塞州安多弗市史赛克公司）对帕尔默IB型TFCC损伤进行全关节镜修复的技术，该技术在生物力学方面以及降低发病风险方面均具有优势。
