The Comparison between Direct Graft Fixation using a Biotenodesis Screw Combined with Early Mobilization versus a Traditional Knot Fixation with 6-Week Immobilization of Adams-Berger Triangular Fibrocartilage Complex Reconstruction.

Several surgical techniques exist for triangular fibrocartilage complex (TFCC) reconstruction, one being the Adams-Berger technique. Direct graft fixation is an emerging option for this reconstructive technique. This study compared the outcomes of TFCC reconstruction according to the Adams-Berger technique using direct graft fixation with a biotenodesis screw and early mobilization against the traditional knot technique with a 6- week cast immobilization. Results demonstrated that the direct fixation technique with early mobilization led to significantly higher patient satisfaction and earlier return to work. A more rapid recovery of range of motion and grip strength, as well as reduced pain intensity, was also noted. The study supports the effectiveness of direct graft fixation with a biotenodesis screw and early mobilization in TFCC reconstruction, offering improved patient outcomes and potentially reducing health care costs. Further research with larger sample sizes is warranted to reconfirm these findings.