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Open surgery is usually required for degenerative or more complex TFCC injuries, or if additional damage to the wrist or forearm caused instability or displacement. It is a more invasive surgical technique compared to arthroscopic treatment, but the surgeon has better visibility and access to the TFCC.
Arthroscopy is until today in an experimental stage but research suggest that in the near future it will be a reasonable alternative for open surgery due to faster recovery time. [6] For a tear in the lunotriquetral ligament, arthroscopic debridement is the prime treatment with a loss or reduction of symptoms of 78-100%.
Triangular fibrocartilage complex (TFCC) injury occurs in 39% to 82% of cases. Ulnar styloid process fracture increases the risk of TFCC injury by a factor of 5:1. However, it is unclear whether intercarpal ligaments and triangular fibrocartilage injuries are associated with long term pain and disability for those who are affected.
This also sometimes includes patient care after a major surgery, [2] [3] under which they are required to visit the doctor for regular check-ups. [4] [5] Convalescent care facilities are sometimes recognized by the acronym TCF (Transitional Convalescent Facilities). [6] Traditionally, time has been allowed for convalescence to happen.
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The surgery is quick (typically lasting between 30 and 90 minutes), minimally invasive, and can have a significantly shorter recovery time than an arthroplasty (knee replacement). Chronic articular cartilage defects do not heal spontaneously. [1]
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A Brostrom repair should be considered a last resort after a patient has tried a series of non-surgical options, such as wearing a boot cast after the injury, going to physical therapy for an extended period of time, etc. Most ankle sprains can significantly improve without surgery.