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Open Triangular Fibrocartilage Complex Repair

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Operative Dictations in Plastic and Reconstructive Surgery

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Abstract

This chapter details the essential surgical steps involved in open repair of a triangular fibrocartilage complex (TFCC) tear. The TFCC is exposed and the tear is debrided. If the TFCC tear is associated with ulnar styloid fracture, styloid repair and fixation are additional steps. Bone tunnels are created in the distal ulna and sutures are passed from the TFCC periphery through the bone tunnels and tied over the ulnar neck. Indications, essential surgical steps, postoperative care, complications, and sample operative dictation are included.

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References

  1. Hermansdorfer JD, Kleinman WB. Management of chronic peripheral tears of the triangular fibrocartilage complex. J Hand Surg Am. 1991;16(2):340–6. Available from: http://dx.doi.org/10.1016/S0363-5023(10)80123-6.

  2. Cooney WP, Linscheid RL, Dobyns JH. Triangular fibrocartilage tears. J Hand Surg Am. 1994;19(1):143–54.

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Author information

Authors and Affiliations

  1. Department of General Surgery, Division of Plastic Surgery, University of Miami, C.R.B. 4th floor, 1120 NW 14th Street, Miami, FL, USA

    Keith Aldrich Jr. M.D.

  2. Orthopedic and Plastic Surgery, University of Miami, C.R.B. 4th floor, 1120 NW 14th Street, Miami, FL, USA

    Harris Gellman M.D.

Authors
  1. Keith Aldrich Jr. M.D.
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  2. Harris Gellman M.D.
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Corresponding author

Correspondence to Keith Aldrich Jr. M.D. .

Editor information

Editors and Affiliations

  1. DeWitt Daughtry Department of Surge, University of Miami DeWitt Daughtry Department of Surge, Miami, Florida, USA

    Tuan Anh Tran

  2. DeWitt Daughtry Department of Surge, University of Miami DeWitt Daughtry Department of Surge, Miami, Florida, USA

    Zubin J. Panthaki

  3. Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon

    Jamal J. Hoballah

  4. DeWitt Daughtry Department of Surge, University of Miami DeWitt Daughtry Department of Surge, Miami, Florida, USA

    Seth R. Thaller

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© 2017 Springer International Publishing Switzerland

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Aldrich, K., Gellman, H. (2017). Open Triangular Fibrocartilage Complex Repair. In: Anh Tran, T., Panthaki, Z., Hoballah, J., Thaller, S. (eds) Operative Dictations in Plastic and Reconstructive Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-40631-2_94

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  • DOI: https://doi.org/10.1007/978-3-319-40631-2_94

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-40629-9

  • Online ISBN: 978-3-319-40631-2

  • eBook Packages: MedicineMedicine (R0)

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