Abstract

SALA, Matías  and  DARODA, Sergio. Resultados del anclaje foveal artroscópico sin nudo del complejo del fibrocartílago triangular en lesiones Atzei 2/3. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2021, vol.86, n.5, pp.581-594. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2021.86.5.1374.

Objective: To retrospectively evaluate the functional and objective outcomes in patients with foveal lesions of the triangular fibrocartilage complex treated with arthroscopic knotless bone anchors. Materials and Methods: We retrospectively evaluated 12 patients with Atzei 2/3 foveal lesions of the triangular fibrocartilage complex with an average follow-up of 18 months. All the lesions were repaired arthroscopically using a fibrocartilage guide and knotless bone anchors. The ranges of motion and grip strength were assessed with the Mayo Clinic wrist scale and the DASH questionnaire. Results: Improvements were obtained in the pain and strength test; the average range of motion was 70° in extension, 85° in flexion, 20° in radial deviation, and 30° in ulnar deviation. The outcomes according to the Mayo Clinic wrist scale were excellent in 83% of the cases and good in 17%; there were no poor outcomes. The average DASH score was 56 preoperatively and 8 postoperatively. The average contralateral comparative strength was 70%. Conclusion: The arthroscopic repair of Atzei 2/3 lesions with knotless bone anchors achieves good outcomes, improves ranges of motion, and restores stability and total or partial strength in all cases.

Keywords : Wrist arthroscopy; Atzei 2; Atzei 3; triangular fibrocartilage complex; knotless bone anchorage.

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