TFCC Repair (Triangular Fibro Cartilage)

TFCC repair is a surgical procedure performed to restore the structure and strength of the triangular fibrocartilage. The aim of the surgery is to relieve pain, improve wrist mobility, and allow patients to return to daily activities or sports without long-term complications. Depending on the nature and severity of the tear, surgeons may repair the TFCC using sutures or reattach it to the bone where it has become detached.

This procedure is often recommended in the following situations:

• Persistent wrist pain that does not improve with rest, splinting, or physiotherapy.
• A traumatic injury, such as a fall on an outstretched hand, that leads to instability.
• Degenerative tears in younger, active individuals where preservation of wrist function is crucial.
• Associated injuries such as distal radioulnar joint (DRUJ) instability.

1. Preoperative Evaluation – A detailed physical examination and imaging tests like MRI help identify the exact type and location of the tear.
2. Anesthesia and Access – Surgery may be performed using regional or general anesthesia. Small incisions are made on the wrist to access the TFCC.
3. Repair Technique – Depending on the tear, sutures, anchors, or other fixation devices are used to repair or reattach the fibrocartilage. In some cases, trimming or debridement of damaged tissue may also be performed.
4. Closure and Dressing – Once the repair is complete, the incisions are closed, and the wrist is placed in a protective dressing or splint.

Healing after TFCC repair requires patience and adherence to a structured rehabilitation plan. Key aspects include:

• Immobilization – The wrist is typically placed in a splint or cast for several weeks to allow proper healing.
• Gradual Motion – Controlled exercises begin under the supervision of a physiotherapist to restore flexibility.
• Strength Training – As healing progresses, strengthening exercises for grip and forearm muscles are introduced.
• Return to Activities – Full recovery may take 3–6 months, depending on the extent of the repair and patient compliance.

• Restores stability and strength in the wrist.
• Relieves pain and improves range of motion.
• Prevents long-term complications such as arthritis or chronic instability.
• Helps patients return to sports, work, and daily activities without limitations.

A TFCC tear can be frustrating and limiting, especially for those who rely heavily on wrist movements in sports, work, or daily life. TFCC repair surgery offers a reliable solution by restoring the structural integrity of the wrist, reducing pain, and improving function. With the right diagnosis, skilled surgical care, and a dedicated rehabilitation program, patients can look forward to regaining full use of their wrist and preventing long-term complications.