title: Arthroscopic knotless anchor repair of triangular fibrocartilage in distal radius fracture.
abstract: OBJECTIVE
  Lesions of triangular fibrocartilage (TFC) are associated with distal radioulnar joint instability. Arthroscopic treatment of these lesions improves functional outcome of affected patients. The aim of the present work is to evaluate functional and occupational outcome of TCF repair using an arthroscopic knotless anchor device in patients with associated distal radius fracture.
  
  
  METHODS
  An observational, descriptive study was carried out between November 2011 and January 2014 including 21 patients with distal radius fracture and Palmer 1B lesions of TCF (Atzei class 2 and 3) that were treated by arthroscopic knotless anchor (PopLok® 2,8mm, ConMed, USA). Mean follow-up was 18 months. Functional (Mayo Wrist Score) and occupational outcome results were analyzed. Mean age of the group was 43.0±8.8 years, with 19% of the patients being female. There was an associated scapholunate lesion in 5 cases.
  
  
  RESULTS
  Functional results reached a mean of 83.4±16.1 points onMayo Wrist Score. Mean sick-leave time was 153.16±48.5 days. Complete occupational reintegration was reached in 89.5% of cases. There were no postoperative complications.
  
  
  CONCLUSIONS
  Arthroscopic knotless anchor repair of 1B TFC tears is a minimally invasive method of treatment that improves tension of fixation, avoiding subsequent loosen, in our experience, with few complications and good functional and occupational results.
authors: Servicio de Cirugía Plástica, Hospital Gregorio Marañón, Madrid, España. Electronic address: dra.angelagr@gmail.com.
authors: Á A
authors: ÁA
authors: García-Ruano
authors: Unidad de Miembro Superior, Servicio de Traumatología, Hospital Fremap, Sevilla, España.
authors: F
authors: F
authors: Najarro-Cid
authors: Unidad de Miembro Superior, Servicio de Traumatología, Hospital Fremap, Sevilla, España.
authors: A
authors: A
authors: Jiménez-Martín
authors: Unidad de Miembro Superior, Servicio de Traumatología, Hospital Fremap, Sevilla, España.
authors: J G
authors: JG
authors: Gómez de los Infantes-Troncoso
authors: Unidad de Miembro Superior, Servicio de Traumatología, Hospital Fremap, Sevilla, España.
authors: M
authors: M
authors: Sicre-González
mesh_terms: D000328:Adult; D001182:Arthroscopy / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011885:Radius Fractures / Q000601:surgery*; D012189:Retrospective Studies; D053441:Suture Anchors; D016896:Treatment Outcome; D051478:Triangular Fibrocartilage / Q000293:injuries / Q000601:surgery*
keywords: Anchor; Anclaje; Arthroscopy; Artroscopia; Fibrocartílago triangular; Knotless; Sin nudo; Triangular fibrocartilage