PMID- 38229172
OWN - NLM
STAT- MEDLINE
DCOM- 20240118
LR  - 20240410
IS  - 1749-799X (Electronic)
IS  - 1749-799X (Linking)
VI  - 19
IP  - 1
DP  - 2024 Jan 16
TI  - Effectiveness of suture anchor and transosseous suture technique in arthroscopic 
      foveal repair of the triangular fibrocartilage complex: a systematic review.
PG  - 72
LID - 10.1186/s13018-024-04530-4 [doi]
LID - 72
AB  - BACKGROUND: Currently, there were two major surgical methods for arthroscopic 
      triangular fibrocartilage complex (TFCC) foveal repair: suture anchor (SA) and 
      transosseous suture (TOS). The purpose of this systematic review is to examine 
      the relevant outcome improvement and safety of SA and TOS technique. METHODS: 
      Literature review of electronic databases for studies investigating the effects 
      of SA and TOS in patients undergoing arthroscopic TFCC foveal repair was 
      performed. We compared the pre-operative and postoperative functional outcomes, 
      clinical outcomes [pain, range of motion (ROM) and grip strength], and 
      complications of two methods. Minimal clinically important difference (MCID) was 
      used to determine clinically meaningful improvement. RESULTS: There were 1263 
      distinct studies identified, with 26 (904 patients) meeting the inclusion 
      criteria. The mean age of participants ranged from 21.4 to 41 years, and the mean 
      follow-up time ranged from 6 to 106 months. Both SA and TOS groups reported 
      significant improvement in the modified mayo wrist score, the disabilities of the 
      arm, shoulder, and hand (DASH) score, quick DASH score, patient-reported wrist 
      evaluation (PRWE) score, and the visual analog scale (VAS) score. According to 
      MCID, all the studies from both groups reporting DASH, quick DASH, PRWE and VAS 
      score achieved clinically meaningful improvement. (MCID: 10 for DASH, 14 for 
      quick DASH, 14 for PRWE and 1.6-18 for VAS). The ROM changes in both groups 
      varied from improvement to deterioration. Grip strength improved in both SA and 
      TOS group. Most complications were self-limited. The reoperation rates in SA and 
      TOS ranged from 0 to 20% and 0 to 27.3%, respectively. CONCLUSIONS: Both SA and 
      TOS technique for arthroscopic TFCC foveal repair could achieve improvement in 
      postoperative functional outcomes, pain, and grip strength with low reoperation 
      rate. However, the ROM improvement was still inconclusive. LEVEL OF EVIDENCE IV: 
      Systematic review of level III and IV studies.
CI  - (c) 2024. The Author(s).
FAU - Ma, Hsuan-Hsiao
AU  - Ma HH
AD  - Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, 
      Taipei, Taiwan.
AD  - Department of Orthopaedics, School of Medicine, National Yang Ming Chiao Tung 
      University, Taipei, Taiwan.
AD  - Division of Orthopaedics, Department of Surgery, Taipei Veterans General Hospital 
      Taitung Branch, Taitung, Taiwan.
AD  - Department of Surgery, Taipei Veterans General Hospital Yuli Branch, Hualien, 
      Taiwan.
FAU - Wang, Jung-Pan
AU  - Wang JP
AD  - Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, 
      Taipei, Taiwan.
AD  - Department of Orthopaedics, School of Medicine, National Yang Ming Chiao Tung 
      University, Taipei, Taiwan.
FAU - Yang, Chen-Yuan
AU  - Yang CY
AD  - Department of Orthopedic Surgery, Kuang Tien General Hospital, No. 117, Shatian 
      Rd., Shalu Dist., Taichung City, 433, Taiwan. chenyuanyangmd@gmail.com.
AD  - Department of Nursing, Hungkuang University, No. 1018, Sec. 6, Taiwan Blvd., 
      Shalu Dist., Taichung City, 433, Taiwan. chenyuanyangmd@gmail.com.
LA  - eng
PT  - Systematic Review
DEP - 20240116
PL  - England
TA  - J Orthop Surg Res
JT  - Journal of orthopaedic surgery and research
JID - 101265112
SB  - IM
MH  - Humans
MH  - Arthroscopy/methods
MH  - Pain/surgery
MH  - Suture Anchors
MH  - Suture Techniques
MH  - Treatment Outcome
MH  - *Triangular Fibrocartilage/surgery
MH  - *Wrist Injuries/surgery
PMC - PMC10790567
OTO - NOTNLM
OT  - Arthroscopic foveal repair
OT  - Foveal repair
OT  - Suture anchor
OT  - TFCC
OT  - Transosseous suture
OT  - Triangular fibrocartilage complex
OT  - Wrist arthroscopy
COIS- The authors declare no competing interests.
EDAT- 2024/01/17 00:41
MHDA- 2024/01/18 06:42
PMCR- 2024/01/16
CRDT- 2024/01/16 23:42
PHST- 2023/10/15 00:00 [received]
PHST- 2024/01/03 00:00 [accepted]
PHST- 2024/01/18 06:42 [medline]
PHST- 2024/01/17 00:41 [pubmed]
PHST- 2024/01/16 23:42 [entrez]
PHST- 2024/01/16 00:00 [pmc-release]
AID - 10.1186/s13018-024-04530-4 [pii]
AID - 4530 [pii]
AID - 10.1186/s13018-024-04530-4 [doi]
PST - epublish
SO  - J Orthop Surg Res. 2024 Jan 16;19(1):72. doi: 10.1186/s13018-024-04530-4.