Abstract：
OBJECTIVE: Recent biomechanical studies have highlighted the importance of foveal reinsertion when repairing triangular fibrocartilage complex (TFCC) injury with foveal tears. However, clinical studies comparing different repair techniques are scarce. We compared the clinical outcomes of suture anchor repair and rein-type capsular suture in patients with TFCC palmer 1B foveal tears with a minimum of 2-year follow-up.
METHODS: This was a single-surgeon, single-center, retrospective, comparative study. We included patients who underwent TFCC repair surgery due to a foveal tear from December 2013 to October 2018 with a minimum follow-up of 24 months. Postoperative Quick Disabilities of Arm, Shoulder, and Hand (QuickDASH) score, Modified Mayo Wrist Score, visual analogue scale for pain, wrist range of motion, and grip strength were compared. We also measured the maximal ulnar head displacement with dynamic ultrasound to quantify distal radioulnar joint stability.
RESULTS: In total, 103 patients were in the suture anchor group (group A) and 84 patients in the rein-type capsular suture group (group B). The mean follow-up time exceeded three years for both groups. There was a minimal difference regarding QuickDASH score, visual analogue scale for pain, and grip strength ratio between the two groups. The rein-type group had significantly better Modified Mayo Wrist Score. The suture anchor group showed better distal radioulnar joint stability with dynamic ultrasound, but was more limited in ulnar deviation. However, these differences are most likely clinically insignificant.
CONCLUSIONS: Both suture anchor repair and rein-type capsular suture yielded satisfactory results for TFCC 1B foveal tear in a minimum of 2-year follow-up. The functional scores were similar, and no major complications or recurrent instability were noted in either group.
METHODS: Retrospective Therapeutic Comparative Investigation IV.
METHODS: This was a single-surgeon, single-center, retrospective, comparative study. We included patients who underwent TFCC repair surgery due to a foveal tear from December 2013 to October 2018 with a minimum follow-up of 24 months. Postoperative Quick Disabilities of Arm, Shoulder, and Hand (QuickDASH) score, Modified Mayo Wrist Score, visual analogue scale for pain, wrist range of motion, and grip strength were compared. We also measured the maximal ulnar head displacement with dynamic ultrasound to quantify distal radioulnar joint stability.
RESULTS: In total, 103 patients were in the suture anchor group (group A) and 84 patients in the rein-type capsular suture group (group B). The mean follow-up time exceeded three years for both groups. There was a minimal difference regarding QuickDASH score, visual analogue scale for pain, and grip strength ratio between the two groups. The rein-type group had significantly better Modified Mayo Wrist Score. The suture anchor group showed better distal radioulnar joint stability with dynamic ultrasound, but was more limited in ulnar deviation. However, these differences are most likely clinically insignificant.
CONCLUSIONS: Both suture anchor repair and rein-type capsular suture yielded satisfactory results for TFCC 1B foveal tear in a minimum of 2-year follow-up. The functional scores were similar, and no major complications or recurrent instability were noted in either group.
METHODS: Retrospective Therapeutic Comparative Investigation IV.
摘要：
目的：最近的生物力学研究强调了在修复带有中央凹撕裂的三角纤维软骨复合体（TFCC）损伤时中央凹重新插入的重要性。然而,比较不同修复技术的临床研究很少。我们比较了TFCCpalmer1B中央凹撕裂患者缝合锚钉修复和rein型包膜缝合的临床结果，并进行了至少2年的随访。
方法：这是一个单外科医生，单中心,回顾性,比较研究。我们纳入了2013年12月至2018年10月因中央凹撕裂而接受TFCC修复手术的患者，最低随访时间为24个月。术后快速手臂残疾,肩膀,和手（QuickDASH）得分，改良的梅奥手腕评分,疼痛的视觉模拟量表，手腕的运动范围，和握力进行了比较。我们还使用动态超声测量最大尺头位移，以量化远端尺尺尺关节稳定性。
结果：总计，缝合锚钉组（A组）103例，rein型包膜缝合组（B组）84例。两组的平均随访时间均超过3年。关于QuickDASH分数的差异很小，疼痛的视觉模拟量表，两组之间的握力比。rein型组的改良梅奥腕部评分明显较好。缝合锚钉组经动态超声检查表现出较好的下尺尺关节稳定性,但在尺骨偏差方面更为有限。然而,这些差异很可能在临床上不显著.
结论：在至少2年的随访中，缝合锚修复和rein型包膜缝合对TFCC1B中央凹撕裂均取得了满意的效果。功能评分相似，两组均未发现重大并发症或复发性不稳定性.
方法：回顾性治疗对比研究IV.
方法：这是一个单外科医生，单中心,回顾性,比较研究。我们纳入了2013年12月至2018年10月因中央凹撕裂而接受TFCC修复手术的患者，最低随访时间为24个月。术后快速手臂残疾,肩膀,和手（QuickDASH）得分，改良的梅奥手腕评分,疼痛的视觉模拟量表，手腕的运动范围，和握力进行了比较。我们还使用动态超声测量最大尺头位移，以量化远端尺尺尺关节稳定性。
结果：总计，缝合锚钉组（A组）103例，rein型包膜缝合组（B组）84例。两组的平均随访时间均超过3年。关于QuickDASH分数的差异很小，疼痛的视觉模拟量表，两组之间的握力比。rein型组的改良梅奥腕部评分明显较好。缝合锚钉组经动态超声检查表现出较好的下尺尺关节稳定性,但在尺骨偏差方面更为有限。然而,这些差异很可能在临床上不显著.
结论：在至少2年的随访中，缝合锚修复和rein型包膜缝合对TFCC1B中央凹撕裂均取得了满意的效果。功能评分相似，两组均未发现重大并发症或复发性不稳定性.
方法：回顾性治疗对比研究IV.
