RICOSTRUZIONE ARTROSCOPICA DELLA FIBROCARTILAGINE TRIANGOLARE MEDIANTE INNESTO TENDINEO

SUMMARY Introduction: Arthroscopy allows for accurate staging of TFCC injuries and its direct repair. In case of degenera- tion or massive disruption, when direct repair is impossibile, we performed arthroscopic reconstruction by tendon graft. Materials and methods: Three patients showing TFCC degeneration or massive disruption associated with distal radio-ulnar joint instability (2 cases bi-directional instability and 1 mono-directional ) underwent arthro- scopic reconstruction of the ligamentous component of TFCC by tendon graft. Results: At an average follow-up of 6 months (min 3 - max 10), all patients recovered 91% of prono-supination and 81% of grip strength, without sings or symptoms of instability. All patients were satisfied with the operation and returned to previous job. Con- clusions: Arthroscopic reconstruction of TFCC combines the advantages of a less invasive technique along with a better intra-articular view and more precise surgical repair. Short term results are comparable with those by open reconstruction. Riv Chir Mano 2006; 3: 370-376