de Araujo W, Poehling G G, Kuzma G R
Department of Orthopaedic Surgery, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina, USA.
Arthroscopy. 1996 Dec;12(6):699-703. doi: 10.1016/s0749-8063(96)90173-5.
The treatment of injuries to the triangular fibrocartilage complex (TFCC) has evolved from closed casting through open excision to arthroscopic repair. The authors present the preliminary results of arthroscopic repair of peripheral (Palmer type IB) TFCC tears using a Tuohy needle. Results in 17 patients treated with this technique were obtained retrospectively through chart review and telephone interview. Average age of the patients was 33 years (range, 16 to 54 years). Conservative treatment averaged 9 months (range, 2 to 26 months). The repairs were performed with one or two horizontal mattress sutures of 2-0 polydioxanone. Follow-up ranged from 4 to 13 months (average, 8 months). Sixteen patients were satisfied or very satisfied with the result; 1 was not satisfied. No complications occurred. We believe this Tuohy needle technique is practical and cost-effective for the arthroscopic management of peripheral TFCC tears.
三角纤维软骨复合体（TFCC）损伤的治疗方法已从闭合石膏固定发展到开放切除，再到关节镜修复。作者介绍了使用Tuohy针进行关节镜修复周围（Palmer I B型）TFCC撕裂的初步结果。通过病历回顾和电话访谈，回顾性地获得了采用该技术治疗的17例患者的结果。患者的平均年龄为33岁（范围为16至54岁）。保守治疗的平均时间为9个月（范围为2至26个月）。采用2-0聚二氧杂环己酮进行一到两个水平褥式缝合进行修复。随访时间为4至13个月（平均8个月）。16例患者对结果满意或非常满意；1例不满意。未发生并发症。我们认为，这种Tuohy针技术对于关节镜下处理周围TFCC撕裂是实用且具有成本效益的。
