All-Arthroscopic Triangular Fibrocartilage Complex Ligamentoplasty for Chronic DRUJ Instability
| Autor: | Vicente Carratalá Baixauli, Rogelio Carratalá Baixauli, Eva Guisasola Lerma, Fernando Corella Montoya, Francisco J. Lucas García, Cristóbal Martínez Andrade |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Joint Instability Male Triangular Fibrocartilage Wrist Joint Druj Triangular fibrocartilage 030230 surgery Instability Contraindications Procedure Tendons 03 medical and health sciences Arthroscopy Disability Evaluation 0302 clinical medicine Return to Work medicine Humans Orthopedics and Sports Medicine Orthodontics 030222 orthopedics medicine.diagnostic_test business.industry Middle Aged Tendon medicine.anatomical_structure Ligament Surgery Female business Triangular Fibrocartilage Complex Sigmoid notch Algorithms |
| Zdroj: | Techniques in handupper extremity surgery. 23(1) |
| ISSN: | 1531-6572 |
| Popis: | Peripheral injuries of the triangular fibrocartilage complex can produce pain and instability of the distal radioulnar joint (DRUJ). There are several techniques for the repair or reconstruction of these injuries, which vary depending on the location, healing capacity, and viability of the tissues, as described by the classification proposed by Atzei. In irreparable chronic injuries of the triangular fibrocartilage complex in which there are no associated chondral injuries of the DRUJ or in failures in previous repair techniques, ligament reconstruction plasty with tendon grafts, either by open surgery or assisted by arthroscopy, are the treatments of choice. We present a completely arthroscopic reconstruction technique of the triangular fibrocartilage complex by means of tendon graft to provide stability to the DRUJ. This reconstruction technique provides a more stable reconstruction after the integration of the tendon plasty in the bone tunnels, based on the anatomic insertions of the triangular fibrocartilage in the fovea and in the corners of the dorsal and volar sigmoid notch, along with the advantages offered by arthroscopy in terms of recovery time, esthetic result, less mobility loss, and pain. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|