| Popis: |
The surgical treatment of chronic sprain of the distal radio-ulnar joint remains a difficult problem. Some authors have proposed a radio-ulnar stabilization procedure which involves some loss of mobility of the forearm. Other, more radical authors, have suggested partial or complete resection of the ulnar head. In this case, they restore mobility in prono-supination, but often with a loss of stability and discomfort or pain. Hui and Lindscheid modified a technique of tenodesis which had been previously proposed by Bunnell. They perfected a tenodesis based on the use of the flexor carpi ulnaris tendon. We feel that this procedure should ensure stability of the distal radio-ulnar joint, while preserving its mobility. We used this technique in 9 patients who were reviewed with a follow-up of 2.7 years. The authors obtained 2/3 of good and very good results. This procedure will be compared with other techniques currently used and differences of the results will be discussed. Unfortunately, few articles have been published on this subject. |
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