A Loop Suture Technique in Treatment of Wrist and Ankle Ganglion

Bhavinder Arora

Volume : VI, Issue : II, February - 2016

A Loop Suture Technique in Treatment of Wrist and Ankle Ganglion

Bhavinder Arora

Abstract :

T Background : Ganglion or ganglion cyst is common swelling of the wrist and ankle joint. Ninety percent of these ganglia are present around wrist joint while ten percent are present around ankle joint. Material and method : The study was conducted on one hundred and fifty patients with diagnosis of ganglion wrist or ankle. One hundred and forty patients with ganglion wrist and ten patients with ankle ganglion were included in this study. These patients were treated by a minimum invasive technique of loop suture. A polypropylene suture 1–0 was used to place single loop suture into the ganglia. The mucinous contents were expelled by massage. The polypropylene suture was rotated in the loop formed. This loop was kept for seven to ten days and then removed. Results : This leads to complete obliteration of the ganglia in all the patients. Infection occurred in six patients which was treated with antibiotics. Persistent pain was present in only one patient. Recurrence was observed in two patients only within one year. The results of this loop suture technique are comparable to others who have placed two loop sutures and also to surgical excision of the ganglia. Conclusion : This loop suture technique is a minimum invasive technique with 98% cure rate. It gives very good cosmetic results and avoids complications of surgery and anaesthesia.