Table 3.
Pearls in capsular repair of TFCC.
Pearls in capsular repair |
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Avoid multiple attempts to pierce the TFCC as it may cause an iatrogenic tear |
Using a horizontal mattress prevents suture cut through |
If the TFCC is pierced too radially, then this cause discomfort to the patient |
Beware of any tendon getting incarcerated in the suture limbs during passing the PDS through loop. This can be avoided by bringing out both the tying suture (PDS) as well as the shuttling suture (Prolene loop) together from the 6R portal to ensure no tissue is caught between the suture limb. |
Liberal incision to expose and protect dorsal sensory ulnar nerve branches before tying the knot must be made |