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23 Νοε 2021 · The cast cannot be removed for the first two weeks postoperatively. For the four weeks thereafter, the cast can be removed for hygiene purposes. At the six-week mark postop, patients would typically begin hand and wrist therapy to achieve range of motion for an additional six weeks.
• During the first post-operative visit, remove the skin sutures and place the arm in short arm cast for an additional 4 weeks. However, results from recent biomechanical studies suggest that the strength of repair may allow for shorter time of immobilization (down to 4 weeks) with a smaller cast.1 After the cast is removed,
Symptomatic immobilization is the mainstay of treatment. Fragment excision may be performed for refractory ulnar wrist pain. Class 1 injuries involve a distal TFCC tear with slight DRUJ laxity. During arthroscopy, the distal TFCC may have a peripheral tear; however, the hook test is negative.
25 Φεβ 2019 · For people with severe or persistent TFCC tears, a doctor may recommend surgery. One surgical option is a type of minimally invasive procedure called an arthroscopy.
approximately four weeks when your cast is removed at your second post-operative appointment. • When you can return to work is dependent upon the type of work you do. Please ask your surgeon for specific work restrictions. • You can drive once you are fully weight-bearing, no longer casted, and no longer taking narcotics. Splint and Cast Care
The procedure involves making small incisions around the wrist to insert the arthroscope and specialized surgical instruments. The surgeon can then either remove damaged tissue or repair the TFCC. Arthroscopy is less invasive than traditional surgery, resulting in a quicker recovery with reduced bleeding, swelling, and pain.
Technique I: Inside/Out Repair. Preoperative Planning. History, clinical examination, and adjunctive tests such as arthrogram or MRI determine the presence of TFCC injury. The surgeon’s experience is used to assess the patient’s suitability for surgical intervention. Appropriate equipment is essential in the operating room.
