Reconstruction of the forearm interosseous membrane by autologous tendon graft: surgical method and clinical results Ulnar and radial fractures involving the interosseous membrane and associated to radial capitellum dislocation are named Monteggia fractures. A.T., male, 26 years old, professional basket player, came to our attention for an inveterate radial capitellum dislocation and MIO (interosseous membrane) lesion. The lesions affecting these structures can cause the loss of function of elbow, wrist and hand if they are not properly treated. Usually the radius transmits 80% of the wrist charge; in case of proximal migration the ulna is overloaded and the wrist is painful. The MIO is one of the most important structures for forearm stability. Since it assures longitudinal and transverse stability of the forearm, in case of lesion the radius could migrate proximally or the caput ulnae could be dorsally dislocated. The patient was submitted to reduction of radial dislocation and MIO reconstruction by autologous tendon graft. At three-months’ follow up, the patient is satisfied, prono-supination is almost complete, extension is complete and flexion is 80°, no pain is reported. At XR an aeterotopic calcification is present in the lateral region of the elbow. Clinical results have been stable from the follow up at six months to the latest clinical check in January 2010. The treatment of the MIO lesion is still debated and choosing the tendon graft is still an open chapter, since BPTB (bone patellar tendon bone), FRC (flexor radialis carpus), or achilleus from cadaver are all weaker than the MIO. The BPTB is the strongest in stiffness and longitudinal elongation; nevertheless the double FRC is a good solution. To avoid proximal radius migration, the safest solution is positioning a radial capitellum prosthesis, when this is possible

Ricostruzione della membrana interossea dell’avambraccio mediante trapianto tendineo : procedura chirurgica e risultati clinici / S. Odella, V. Pedrini, R. Sartore, W. Albisetti, F. Torretta. - In: ARCHIVIO DI ORTOPEDIA E REUMATOLOGIA. - ISSN 0390-7368. - 121:2-3(2010), pp. 30-31. [10.1007/s10261-010-0034-7]

Ricostruzione della membrana interossea dell’avambraccio mediante trapianto tendineo : procedura chirurgica e risultati clinici

R. Sartore;W. Albisetti
Penultimo
;
2010

Abstract

Reconstruction of the forearm interosseous membrane by autologous tendon graft: surgical method and clinical results Ulnar and radial fractures involving the interosseous membrane and associated to radial capitellum dislocation are named Monteggia fractures. A.T., male, 26 years old, professional basket player, came to our attention for an inveterate radial capitellum dislocation and MIO (interosseous membrane) lesion. The lesions affecting these structures can cause the loss of function of elbow, wrist and hand if they are not properly treated. Usually the radius transmits 80% of the wrist charge; in case of proximal migration the ulna is overloaded and the wrist is painful. The MIO is one of the most important structures for forearm stability. Since it assures longitudinal and transverse stability of the forearm, in case of lesion the radius could migrate proximally or the caput ulnae could be dorsally dislocated. The patient was submitted to reduction of radial dislocation and MIO reconstruction by autologous tendon graft. At three-months’ follow up, the patient is satisfied, prono-supination is almost complete, extension is complete and flexion is 80°, no pain is reported. At XR an aeterotopic calcification is present in the lateral region of the elbow. Clinical results have been stable from the follow up at six months to the latest clinical check in January 2010. The treatment of the MIO lesion is still debated and choosing the tendon graft is still an open chapter, since BPTB (bone patellar tendon bone), FRC (flexor radialis carpus), or achilleus from cadaver are all weaker than the MIO. The BPTB is the strongest in stiffness and longitudinal elongation; nevertheless the double FRC is a good solution. To avoid proximal radius migration, the safest solution is positioning a radial capitellum prosthesis, when this is possible
Settore MED/33 - Malattie Apparato Locomotore
Settore MED/34 - Medicina Fisica e Riabilitativa
2010
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/172794
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