The Comparison between Direct Graft Fixation using a Biotenodesis Screw Combined with Early Mobilization versus a Traditional Knot Fixation with 6-Week Immobilization of Adams–Berger Triangular Fibrocartilage Complex Reconstruction

Abstract

Several surgical techniques exist for triangular fibrocartilage complex (TFCC) reconstruction, one being the Adams–Berger technique. Direct graft fixation is an emerging option for this reconstructive technique. This study compared the outcomes of TFCC reconstruction according to the Adams–Berger technique using direct graft fixation with a biotenodesis screw and early mobilization against the traditional knot technique with a 6- week cast immobilization. Results demonstrated that the direct fixation technique with early mobilization led to significantly higher patient satisfaction and earlier return to work. A more rapid recovery of range of motion and grip strength, as well as reduced pain intensity, was also noted. The study supports the effectiveness of direct graft fixation with a biotenodesis screw and early mobilization in TFCC reconstruction, offering improved patient outcomes and potentially reducing health care costs. Further research with larger sample sizes is warranted to reconfirm these findings.

Keywords

TFCC reconstruction - early mobilization - Adams–Berger procedure - DRUJ instability - ulnar sided wrist pain

Ethical Approval

Ethical approval for this study was obtained from the Medical Ethics Committee of Martini Hospital, Groningen (2023-079). Written informed consent was obtained from all subjects before the study.

Publication History

Received: 05 March 2024

Accepted: 21 May 2024

Article published online:
26 June 2024

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