Universität zu Köln

Spies, Christian K., Langer, Martin F., Mueller, Lars P. and Unglaub, Frank (2020). Reconstruction of the deep fibers of the distal radioulnar ligaments facilitating a tendon graft-Adams' procedure. Oper. Orthopade Traumatol., 32 (3). S. 262 - 271. MUNICH: URBAN & VOGEL. ISSN 1439-0981

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Abstract

Goal Anatomical reconstruction of the deep fibers of the distal radioulnar ligaments to stabilise the distal radioulnar joint. Indications Multidirectional instability of the distal radioulnar joint without the possibility for anatomic refixation of the distal radioulnar ligaments. Contraindications General operative contraindications, infection, insufficient soft tissue coverage, osteoarthritis of the distal radioulnar joint, excessive ulna impaction syndrome, osseous deformation. Surgical technique Dorsal approach to the distal radioulnar joint, preparation of the ulna head, transosseous transfer of tendon graft through the distal ulnar corner of the radius at the sigmoid notch, transfer through the ulnar fovea and transosseous fixation within the ulna head using an interference screw. Postoperative management Long arm cast for 4-6 weeks, then Bowers splint for further 4 weeks; optional long arm orthosis without limiting elbow flexion and extension for 4-6 weeks, then Bowers splint for further 4 weeks; starting exercises after 12 weeks. Results Reconstruction of the distal radioulnar ligaments using tendon grafts stabilises the distal radioulnar joint with restoration of joint kinematics.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Spies, Christian K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Langer, Martin F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Lars P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Unglaub, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-127688
DOI:	10.1007/s00064-019-00638-7
Journal or Publication Title:	Oper. Orthopade Traumatol.
Volume:	32
Number:	3
Page Range:	S. 262 - 271
Date:	2020
Publisher:	URBAN & VOGEL
Place of Publication:	MUNICH
ISSN:	1439-0981
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TRIANGULAR FIBROCARTILAGE COMPLEX; CAPSULAR IMBRICATION; JOINT; STABILITY; INSTABILITY; REFIXATION; ANATOMY; TFCC Multiple languages Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/12768