What is TFCC Repair?

Triangular Fibrocartilage Complex (TFCC) repair is a surgical procedure to restore the function and integrity of the TFCC, a key structure in the wrist that stabilizes the ulnar side and allows smooth rotation and movement. This repair is essential for addressing tears or injuries caused by trauma, repetitive strain, or degenerative changes.

Who Needs TFCC Repair?

TFCC repair is recommended for individuals with:

• Chronic wrist pain and weakness on the ulnar side
• Limited wrist movement or reduced grip strength
• TFCC tears that fail to respond to non-surgical treatments such as physical therapy or bracing
• Wrist instability due to significant TFCC damage

Procedure for TFCC Repair

TFCC repair is often performed arthroscopically, involving the following steps:

• Making small incisions around the wrist to insert an arthroscope (a small camera) and surgical instruments
• Identifying the TFCC tear or injury
• Repairing the tear using sutures or anchors, or debriding damaged tissue if repair isn’t feasible
• Closing the incisions and applying a protective dressing or splint

The procedure is minimally invasive, resulting in less pain and quicker recovery compared to open surgery.

Benefits of TFCC Repair

TFCC repair provides several benefits, including:

• Restoration of wrist stability and function
• Reduction in chronic wrist pain
• Improved range of motion and grip strength
• Prevention of long-term complications like arthritis

Recovery and Post-operative Care

Recovery after TFCC repair involves:

• Immobilizing the wrist with a splint or cast for several weeks
• Engaging in physical therapy to restore strength and mobility
• Avoiding heavy lifting or repetitive wrist movements during the healing phase
• Following regular follow-up appointments for progress monitoring

Full recovery may take 3-6 months, depending on the severity of the injury and the patient’s adherence to rehabilitation.

Risks and Complications

Although TFCC repair is generally safe, potential risks include:

• Infection or delayed wound healing
• Nerve or blood vessel damage
• Persistent stiffness or reduced range of motion
• Failure of the repair to restore full function

Adhering to post-operative care instructions significantly reduces these risks.

When to Seek Medical Advice

If you experience persistent wrist pain, instability, or difficulty performing daily activities despite non-surgical treatments, consult an orthopedic specialist to determine if TFCC repair is the right option for you. Early intervention ensures better outcomes and faster recovery.