title: Suture welding for arthroscopic repair of peripheral triangular fibrocartilage complex tears.
abstract: This report presents a method of arthroscopic repair of the peripheral triangular fibrocartilage tears by using ultrasonic suture welding technique, thus avoiding the need for traditional suture knots. This technique eliminates the potential causes of ulnar-sided wrist discomfort especially during the postoperative period. Twenty-three patients (9 women and 14 men; mean age, 35 years; range, 18-52 years) were operated during a 1-year period in 2001 for Palmer grade 1B triangular fibrocartilage complex tear and followed up for 17 months. At the final follow-up, the average wrist arc of motion was as follows: extension, 65 degrees; flexion, 56 degrees; supination, 80 degrees; pronation, 78 degrees; radial deviation, 12 degrees; and ulnar deviation, 25 degrees. Grip strength measured with a dynamometer (Jamar) averaged 81% of the contralateral side at the final evaluation (range, 53%-105%).
authors.affiliation: FACS, Hand, Upper Extremity and Microsurgery, Miami Hand Center, Suite 100, 8905 SW 87th Ave, Miami, FL 33176, USA. alex@surgical.net
authors.forename: Alejandro
authors.initials: A
authors.lastname: Badia
authors.forename: Prakash
authors.initials: P
authors.lastname: Khanchandani
mesh_terms: D000293:Adolescent; D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D018737:Hand Strength; D006801:Humans; D008297:Male; D008875:Middle Aged; D011403:Pronation; D016059:Range of Motion, Articular; D013484:Supination; D013536:Suture Techniques; D051478:Triangular Fibrocartilage / Q000293:injuries* / Q000601:surgery*; D014465:Ultrasonics; D014955:Wrist Joint / Q000601:surgery