Tendon Interposition and Ligament Reconstruction with ECRL Tendon in the Late Stages of Kienböck’s Disease: A Cadaver Study
| Autor: | Mehmet Demirtaş, Nazim Karalezli, Harun Kütahya, Gürhan Ulusoy, Ali Firat Esmer, Aysun Uz, Arzu Gül Tasci |
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| Rok vydání: | 2013 |
| Předmět: |
Wrist Joint
musculoskeletal diseases Article Subject medicine.medical_treatment Tendon Transfer lcsh:Medicine lcsh:Technology General Biochemistry Genetics and Molecular Biology Tendons Cadaver Tendon transfer medicine Humans lcsh:Science General Environmental Science lcsh:T business.industry lcsh:R Osteonecrosis General Medicine Anatomy Plastic Surgery Procedures musculoskeletal system medicine.disease Tendon Lunate Carpal bones Treatment Outcome medicine.anatomical_structure Triquetrum Ligament lcsh:Q Kienböck's disease business Research Article |
| Zdroj: | The Scientific World Journal, Vol 2013 (2013) The Scientific World Journal |
| ISSN: | 1537-744X |
| Popis: | Background. The optimal surgical treatment for Kienböck’s disease with stages IIIB and IV remains controversial. A cadaver study was carried out to evaluate the use of coiled extensor carpi radialis longus tendon for tendon interposition and a strip obtained from the same tendon for ligament reconstruction in the late stages of Kienböck’s disease.Methods.Coiled extensor carpi radialis longus tendon was used to fill the cavity of the excised lunate, and a strip obtained from this tendon was sutured onto itself after passing through the scaphoid and the triquetrum acting as a ligament to preserve proximal row integrity. Biomechanical tests were carried out in order to evaluate this new ligamentous reconstruction.Results. It was biomechanically confirmed that the procedure was effective against axial compression and distributed the upcoming mechanical stress to the distal row.Conclusion. Extensor carpi radialis longus tendon has not been used for tendon interposition and ligament reconstruction in the treatment of this disease before. In view of the biomechanical data, the procedure seems to be effective for the stabilization of scaphoid and carpal bones. |
| Databáze: | OpenAIRE |
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