Hand & wrist · Wrist stability

TFCC repair surgery in Canada

TFCC repair is an arthroscopic procedure for peripheral tears of the triangular fibrocartilage complex that have healing potential, designed to restore wrist stability and reduce ulnar-sided wrist pain. Consultations with our fellowship-trained surgeons in 1–3 days, with surgery typically 2–4 weeks later. Cast or splint immobilization is typical for several weeks while the tissue heals, with return to full activity and grip-loading sport over 4–6 months.

At Pathway, our fellowship-trained hand and wrist surgeons perform TFCC repair surgery. Consultations are available in 1–3 days, with surgery typically 2–4 weeks later.

Book a consultation (647) 799-3230
  • Arthroscopic suture repair
  • Splint or cast while healing
  • Surgery in 2–4 weeks
  • No referral required
Patient gripping bicycle handlebars after TFCC surgery recovery
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Arthroscopic repair

At a glance

TFCC repair surgery at a glance

TFCC repair is an arthroscopic procedure for peripheral tears of the triangular fibrocartilage complex that have healing potential, designed to restore wrist stability and reduce ulnar-sided wrist pain.

1–3 days
to first consultation
2–4 weeks
from consult to surgery
3–4 months
typical return to most activities
4–6 months
typical full recovery
The condition

What is the TFCC?

The triangular fibrocartilage complex (TFCC) is a structure on the pinky side of the wrist that acts as a cushion and stabilizer between the ulna bone and the small wrist bones. It allows the wrist to rotate smoothly and absorbs forces during gripping and weight-bearing activities.

TFCC tears can occur from a fall on an outstretched hand, twisting injuries, or gradual wear over time. Symptoms include pain on the pinky side of the wrist, clicking or popping, weakness, and difficulty with gripping or rotating the forearm.

The procedure

Arthroscopic TFCC repair.

Restoring stability through minimally invasive surgery.

The repair is performed through small incisions under camera guidance, in four stages:

  1. 1

    Wrist arthroscopy

    A small camera is inserted to visualize the tear and assess repairability

  2. 2

    Tissue preparation

    The torn edges are freshened to promote healing

  3. 3

    Suture repair

    The TFCC is sutured back to its anatomic attachment using specialized techniques

  4. 4

    Immobilization

    A splint or cast protects the repair during early healing

Healing back to bone

TFCC repair requires a period of immobilization to allow the sutured tissue to heal back to bone.

Recovery is longer than debridement, but the repair aims to support restoration of stability and function — including grip-loading activities and sport.

Understanding your options

Repair vs. debridement.

Not all TFCC tears require repair — the appropriate treatment depends on the tear location and type.

TFCC repair

For peripheral tears (near the wrist capsule) where there is good blood supply for healing. These tears are sutured back to their attachment.

TFCC debridement

For central tears (in the body of the TFCC) where blood supply is poor. Damaged tissue is trimmed to a smooth, stable edge.

Your surgeon will discuss the likely approach before surgery and confirm it during the procedure.

Your surgeon

Our TFCC repair specialist.

Our fellowship-trained surgeon with expertise in wrist arthroscopy and TFCC surgery.

Dr. Bashar Alolabi, TFCC repair surgeon

Dr. Bashar Alolabi

Shoulder, elbow & hand specialist · Cleveland Clinic fellowship trained

Dr. Bashar Alolabi is a shoulder, elbow & hand specialist, fellowship trained at the Cleveland Clinic.

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Your recovery

Recovery after TFCC repair.

  1. 1

    Weeks 0–4

    Immobilization

    Cast or splint immobilization; no forearm rotation

  2. 2

    Weeks 4–6

    Early motion

    Removable splint; gentle range of motion begins

  3. 3

    Weeks 6–12

    Strengthening

    Progressive strengthening with hand therapy

  4. 4

    Months 3–4

    Return to activity

    Return to most activities; full recovery typically by 4–6 months

4–6 weeks

Splint becomes removable

Gentle range of motion begins

3–4 months

Most activities

Progressive return as strength rebuilds

4–6 months

Full recovery

Including grip-loading sport

Complete recovery takes several months and depends on factors like tear severity, repair quality, and adherence to rehabilitation.

What if the tear can’t be repaired?

For central tears — where blood supply is poor and healing is unlikely — TFCC debridement trims the damaged tissue to a smooth, stable edge, typically with a faster recovery and no prolonged immobilization.

Learn about TFCC debridement
FAQ

Frequently asked questions.

The decision is made based on MRI findings and direct visualization during arthroscopy. Peripheral tears with good blood supply are typically repaired, while central tears are debrided. Your surgeon will discuss the likely approach before surgery and confirm during the procedure.

Some TFCC tears, particularly acute peripheral tears, may heal with immobilization alone. A period of splinting and activity modification is often tried before considering surgery. Surgery is typically recommended when conservative treatment does not provide adequate relief.

Many patients achieve improvement in strength and function following TFCC repair. Complete recovery takes several months and depends on factors like tear severity, repair quality, and adherence to rehabilitation.

No referral is required. You can book a consultation directly with our team to discuss your wrist symptoms and treatment options.

Next step

Start your care journey.

Schedule a consultation to discuss your wrist symptoms and explore treatment options for your TFCC injury. No referral required.

Book a consultation (647) 799-3230
Related links

Continue your research.

Specialty Hand & Wrist procedures Surgeon Dr. Bashar Alolabi Related procedure Carpal Tunnel Surgery in Canada Related procedure TFCC Debridement in Canada