Motion-preserving wrist reconstruction using a microsurgical medial femur condylus bone graft and radio-scapho-lunate (RSL) limited fusion after osteomyelitis following open distal radius fracture
| Autor: | Steinmann, C, Kalbermatten, D, Gohritz, A, Schaefer, DJ |
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| Jazyk: | němčina |
| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | GMS German Plastic, Reconstructive and Aesthetic Surgery – Burn and Hand Surgery, Vol 5, p Doc03 (2015) GMS German Plastic, Reconstructive and Aesthetic Surgery; VOL: 5; DOC03 /20150625/ |
| ISSN: | 2193-7052 |
| Popis: | This case presents the microsurgical management in the rare situation after sequestering osteomyelitis of the distal radius to achieve both bony stability and partially preserved wrist motion. A 38-year-old patient underwent after sequestrectomy microsurgical reconstruction using a medial femoral condyle as a prerequisite for simultaneous motion-preserving radio-scapho-lunate (RSL) fusion. As a result, 11 months postoperatively, a good functional result was achieved with range of motion of 60° in extension/flexion and 40° in ulnar/radial deviation and grip strength of 12 kg correspondeding to 33% of the dominant contralateral side. Upper extremity usability as measured by Disability of Arm Shoulder and Hand (DASH) questionnaire improved from preoperative 24 to 8 points after the reconstruction and enabled the patient to resume his work without pain. GMS German Plastic, Reconstructive and Aesthetic Surgery; 5:Doc03; ISSN 2193-7052 |
| Databáze: | OpenAIRE |
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