Monday, February 6, 2017

Tfcc repair recovery

How long does TFCC tear take to heal? What is the TFCC ligament? Recovery time for a TFCC tear depends on the type, severity, and treatment of the injury. If you do need surgery, it may take anywhere from six weeks to several months before you.


Using the surgical instrument, the surgeon is able to diagnose as well as remove torn tissue and repair the TFCC. This minimally invasive approach in less bleeding, swelling, pain, and recovery time than traditional “open” surgery.

You will be expected to begin using your fingers as soon as possible and while in a splint to keep them from getting stiff. Icing 3-times a day is used to reduce swelling for the first few weeks. As far as nighttime, your wrist will need to be kept elevated while you sleep. Following the initial, protective stages of recovery , initiation of range of motion and restoring normal movement is followed by progressive strengthening and a return to normal activities. A repair is performed when the tear occurs in an area where the TFCC has a direct blood supply – the periphery of this structure.


On the other han a debridement is performed if your tear is located within an area of the TFCC that does not have a direct blood supply – the central portion of this structure. Most TFCC injuries can be treated arthroscopically, meaning a small instrument called an arthroscope is used rather than making a large open incision. This makes for a faster recovery time and minimal scarring.

Your surgeon will smooth down all fraying or uneven structures of the area and repair completely torn tissue if necessary. Next a mini-open TFCC repair was done with a bone anchor in the fovea. After a period of immobilization and rehabilitation the patient was doing very well and returned to work. Treatments for Tenosynovitis.


After the surgery, your hand and wrist will be placed in a plaster splint. This splint helps protect the TFCC while it heals and also lessens swelling. After curettage of the scar tissue in the fovea, the deep palmar and dorsal limbs of the TFCC are sutured back to the fovea using a suture anchor technique. If symptoms persist, a corticosteroid injection in the area of the ligament can be helpful. Operative treatment may be required for persistent symptoms despite appropriate splinting and injection.


TFCC tears resulting in instability of the wrist or in association with wrist fractures may require immediate repair. TFCC, an more re­ cently, operative repair (1112227). Debridement of the TFCC tears is a well-recognized method of treatment. This can be performed by using an open arthrotomy or arthroscopically.


Do not remove the surgical bandage. Restrictions: No heavy lifting or pulling greater than lbs. The patient is to begin active and passive range of motion of the fingers and thumb to prevent stiffness and reduce swelling. Lesions of the ulnar, vascular side of the TFCC (IB lesions) are most amenable to arthroscopic or open repair, and early arthroscopic intervention should be encouraged in the elite athlete.


The Mini PushLock allows for a knotless, zero-profile repair down to the ulna.

If a TFCC tear is suspecte visit a doctor, who will examine your wrist for signs and symptoms. They will perform some manual tests which place stress on the complex. By reproducing symptoms they can get an understanding of which structures are injured.

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