Ligamentoplasty of the forearm interosseous membrane using the semitendinosus tendon: anatomical study and surgical procedure.

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Abstrakt

Tytuł:: Ligamentoplasty of the forearm interosseous membrane using the semitendinosus tendon: anatomical study and surgical procedure.
Autorzy:: Soubeyrand M; Service d'Orthopédie et Traumatologie, Hôpital Bichat Claude Bernard, 46, rue Henri Huchard, 75018, Paris, France.
Oberlin C
Dumontier C
Belkheyar Z
Lafont C
Degeorges R
Źródło:: Surgical and radiologic anatomy : SRA [Surg Radiol Anat] 2006 Jun; Vol. 28 (3), pp. 300-7. Date of Electronic Publication: 2006 Feb 11.
Typ publikacji:: Evaluation Study; Journal Article
Język:: English
Imprint Name(s):: Original Publication: Berlin ; New York : Springer International, c1986-
MeSH Terms:: Arthroplasty, Replacement/*methods
Ligaments/*surgery
Radius/*surgery
Tendons/*surgery
Ulna/*surgery
Biomechanical Phenomena ; Cadaver ; Forearm ; Humans ; Pronation ; Weight-Bearing
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Entry Date(s):: Date Created: 20060214 Date Completed: 20070705 Latest Revision: 20220314
Update Code:: 20240104
DOI:: 10.1007/s00276-006-0086-z
PMID:: 16474924
: Czasopismo naukowe

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Total longitudinal disruptions of the interosseous membrane can allow proximal radius migration and are seen in Essex-Lopresti lesions. We propose an original technique of ligamentoplasty using the semitendinosus tendon. The graft corresponds to the forearm rotation axis for an optimized isometry and longitudinal stabilization. Our ligamentoplasty technique was performed on ten fresh frozen right forearms. We successively assessed the innocuousness, efficiency and resistance of the ligamentoplasty. The ligamentoplasty induced neither passive limitation of pronation-supination nor neurovascular lesions. It prevented from radius proximal migration. The mean load to failure was 28 kg at both ulnar and radial sides of the graft. Our technique is original for the type and position of the graft. It seems safe, efficient and resistant enough for in vivo procedures. This technique decreases longitudinal loads on the radius. It should be indicated in patients with Essex-Lopresti syndrome, in association with radial head internal fixation or arthroplasty.

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