The Short Term Results of All-inside Arthroscopic Repair of the Triangular Fibrocartilage Complex Type 1B Tear by Knotless Suture Anchor

PURPOSE: We studied the short term results of the arthroscopic repair of 1B type triangular fibrocartilage complex (TFCC) tear using a knotless suture anchor. METHODS: We evaluated 23 patients who underwent all-inside arthroscopic TFCC repair using a knotless suture anchor. The average follow-up duration was 6.6 months (range, 3-10 months). Mean duration of symptom was 10.9 months (range, 1 week-7 years). The arthroscopic finding documented 15 type 1B, 2 1B with 1D, and 6 1B with 2C lesions. All showed the positive hook test. The concomitant pathologies were 16 scapholunate injuries and 10 lunotriquetral injuries. TFCC tears were repaired by the knotless suture anchor. The Wafer procedure was done for 2C lesions. RESULTS: According to Mayo modified wrist score, the result was excellent in 4, good in 14 and fair in 5. Nineteen patients (82.6%) could return to his job or hobby. CONCLUSION: The all-inside arthroscopic repair using knotless suture anchor for TFCC 1B tear can provide good results. The appropriate management should be done for the concomitant pathologies for the better results.

The Results of Treatment in Developmental Dislocation of the Hip between 6 and 24 Months Old / 대한정형외과학회잡지

PURPOSE: To evaluate the outcome of treatment for developmental dislocation of the hip (DDH) in children in whom the treatment was delayed until they were 6 to 24 months old. MATERIALS AND METHODS: Fifty two hips of 48 children between 6 and 24 months old, who have not been treated for DDH were selected for this study. The treatments for these children were closed reduction in 16 hips and open reduction in 36 hips. Patients were followed-up for 11 years on average and for 5 years at minimum. RESULTS: According to Severin's classification, 39 hips (75%) were included in the `satisfactory group', while 13 hips (25%) were `unsatisfactory'. The `unsatisfactory group' consisted of 7 hips showing an impaired secondary ossification center in the acetabular rim, 5 hips with persistent resubluxation after weaning the orthosis, and one hip showing severe coxa magna. Additional bony procedures for the underdeveloped acetabuum and/or proximal femur were required in 12 hips, except for one showing severe coxa magna. CONCLUSION: The radiological outcome of DDH in children in whom the treatment was delayed until 6 to 24 months old was satisfactory in 39 hips (75%). Unsatisfactory hips required additional bony procedures, which we expect will improve the final outcome.