POSTER ABSTRACTS - ISAKOS

and a secure arthroscopic repair of the peripheral
component and then treated the patient postoperatively
as we would any other peripheral
repair. This first patient post operatively had and
excellent outcome with a Modified Mayo wrist
score of 100. Since that first patient, review of our
series of TFCC repairs has yielded fifteen
additional patients with combined lesions of the
TFCC for a total of sixteen patients. This report is
an evaluation of these sixteen patients with
combined TFCC lesions. There were fourteen
males and two female patients. Their average age
was thirty-three years old. There were eleven right
wrist injuries and five left wrist injuries. The
dominant wrist was injured 12/16 times.
Mechanism of injuries included thirteen sports
related injuries (baseball, hockey and tennis), two
MVA's and one assault. Associated pathology
involved one scapholunate ligament rupture and
one ECU sling rupture. Follow up ranged from 24
to 110 months and averaged 52 months. Average
Mayo Modified wrist score was
90. This compared favorable with our previous
series of peripheral TFCC repairs where the
average score was 92.5
We believe that debridement of the central
portion of a Combined TFCC lesion in conjunction
with repair of the peripheral portion can lead to
good and excellent results. Without repair of the
peripheral portion of the combined lesion, the
laxity caused by the tear of the central portion
would lead to biomechanical instability. Despite
the lack of continuity of the central portion of the
TFCC, repair of the peripheral portion leads to
increased stability by creating a suspension
bridge type configuration. Burkhart popularized
this concept in regards to partial repair of massive
rotator cuff tears and we believe this
biomechanical theory is applicable for Combined
lesions of the TFCC as well. Debridement of the
central portion in conjunction with repair of the
peripheral portion of a combined TFCC lesion
gives the surgeon a viable surgical option when
faced with this difficult variant of TFCC pathology.
E-poster #215
Physiotherapeutic Approach in
Epicondylopathy of the Humerus
Izabela Maziarz, POLAND, Presenter
Carolina Medical Center, Warsaw, POLAND
Purpose: presentation of the physiotherapeuthic
methods of treatment of patients with
epicondylopathy in Carolina Medical Center
Material: we analyzed 20 patients divided into
two groups. First group (10 patients) presented
with early symptoms of epicondylopathy (painful
elbow). Patients in the second group (10 patients)
presented with long lasting complaints. Patients
were treated for 4-8 weeks.
Method: history and physiotherapeutic
examination (palpation, subjective pain ,
functional tests Thomson test, Mill test, chair
test). Physiotherapeuthic methods: massage,
stretching, prioprioception, kriotheraphy, elbow
orthesis, excentric-concentric training of the
carpal flexors and extensors.
Results: Patients with early symptoms of painful
elbow recovered faster than patients with long
lasting complaints.
Conclusion: early physiotherapeutic assessment
results in shorter therapy period and better long
term effects.
E-poster #216
Open Treatment of Stage III Kienbock’s
Disease With Lunate Revascularization
Compared With Arthroscopic Treatment
Without Revascularization
Mahmut NedimDoral, Ankara, TURKEY
Ozgur Ahmet Atay, Ankara, TURKEY
Onur Tetik, Ankara, TURKEY
Terry L Whipple, Richmond, VA USA
Akin Uzumcugil, Ankara, TURKEY
Gursel Leblebicioglu, TURKEY, Presenter
University of Hacettepe Medical School
Department, Ankara, TURKEY
Purpose: The goal of this study was to compare
the results of open scaphocapitate fusion and
revascularization with the results of arthroscopic
scaphocapitate fusion and capitate pole excision.
Type of Study: Prospective randomized study.
Methods: Between April 1997 and January 2000, 16
consecutive patients (5 men and 11 women with a
mean age of 31 years [range, 18 to 61]) Presenter
with Kienbo¨ck’s disease stage IIIA and stage IIIB
were randomized to either open scaphocapitate
fusion and lunate revascularization (group I) or
fully arthroscopic scaphocapitate fusion and
capitate pole excision (group II) groups.
Cannulated 3.5-mm ASIF screws were used for the
purpose of scaphocapitate fixation in both groups.
Operation time, hospital stay, time to fusion,
range of wrist motion at final follow-up, grip
strength, and return to unrestricted activities of
daily living were evaluated at 33 months’ follow-