Department of Orthopedic Surgery, Gyeongsang National University Changwon Hospital, Changwon.
Department of Orthopedic Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea.
J Hand Surg Am. 2021 Sep;46(9):822.e1-822.e7. doi: 10.1016/j.jhsa.2021.01.021. Epub 2021 Apr 3.
Ulnar impaction syndrome (UIS) and triangular fibrocartilage complex (TFCC) tear are common causes of ulnar-sided wrist pain. As a standard surgical treatment, ulnar-shortening osteotomy (USO) and TFCC repair are used respectively. Patient spectrums of UIS accompanied by distal radioulnar joint instability or traumatic TFCC foveal tear with UIS symptoms exist, and both USO and TFCC repair are necessary for treating some of these patients. However, there have been few reports on the procedure for performing these 2 operations concurrently. We introduce a combined procedure to concurrently perform USO and TFCC repair. We performed a USO in the ulnar metaphysis using a locking plate and open TFCC knotless repair using a suture anchor at the ulnar fovea. In this technique, USO is conducted in the metaphysis, which is favorable to union, using a small plate that is easy to handle, and knotless TFCC repair can be performed simultaneously through a single small incision.
尺侧撞击综合征（UIS）和三角纤维软骨复合体（TFCC）撕裂是尺侧腕部疼痛的常见原因。作为一种标准的手术治疗方法，分别采用尺骨缩短截骨术（USO）和 TFCC 修复术。存在伴有下尺桡关节不稳定的 UIS 患者或伴有 UIS 症状的创伤性 TFCC 窝状撕裂的患者，对于其中一些患者，同时需要进行 USO 和 TFCC 修复。然而，关于同时进行这两种手术的程序的报道很少。我们介绍了一种联合手术，可同时进行 USO 和 TFCC 修复。我们在尺骨干使用锁定板进行 USO，并在尺骨窝使用缝合锚钉进行开放式 TFCC 无结修复。在该技术中，USO 在骨干中进行，使用易于操作的小钢板有利于愈合，并且可以通过单个小切口同时进行无结 TFCC 修复。
