Browsing by Subject "Instability"

Now showing 1 - 2 of 2
  • Thumbnail Image
    Publication
    Open Access
    Biomechanical invasive reconstruction of the distal oblique band of the interosseous membrane with extensor carpi radialis longus in radioulnar instability: a new clinical therapy for athletes
    (2022-08-23) Giménez Ros, Alberto; León Muñoz, Vicente J.; Santonja Medina, Fernando; Calvo Guirado, José Luis; Martínez Martínez, Francisco; Cirugía, Pediatría y Obstetricia y Ginecología
    Distal Radioulnar Joint (DRUJ) instability is a pathology without a clear reconstructive procedure. Throughout history, numerous tech niques have been described whose objectives have been to increase stability as well as relieve pain. The main stabilizing element is the Tri angular Fibrocartilage Complex (TFCC) and, there are also secondary stabilizers among where the Distal Oblique Bundle (DOB) is consistent ly located. We performed a biomechanical study with three cadaveric arms to verify the influence of DOB on joint stability and performing a new reconstruction technique with hemi tendon of carpi radialis longus extensor to get distal radio cubital stability for fiber cartilage repair. There are positive results in the volar and dorsal displacement of the ulna on the radius with the reconstruction technique presented to restore joint stability. The proposed technique is a valid and biome chanically effective option to restore joint stability as a complement to the repair of the TFCC or as a unique technique if the TFCC is ir reparable. This technique became important when you cannot repair TFCC in athletes, the recommended alternative can be done and distal oblique soft plasty.
  • Thumbnail Image
    Publication
    Open Access
    Reconstruction of the distal oblique bundle of the interosseous membrane with extensor carpi radialis hemitendon: a new minimally-invasive technique
    (Thieme Gruppe, 2020-11-20) Martínez Martínez, Francisco; Giménez Ros, Alberto; León Muñoz, Vicente; Santonja Medina, Fernando; Cirugía, Pediatría y Obstetricia y Ginecología
    The main stabilizing element of the distal radioulnar joint (DRUJ) is the triangular fibrocartilage complex (TFCC). Secondary stabilizers include the distal oblique band (DOB), which is inconsistently found. When TFCC repair has failed or cannot be performed, DOB reconstruction is a therapeutic option. Even though distal radioulnar ligamentoplasty remains the technique of choice, recent papers show similar outcomes from both methods. We present two cases of successful DOB repair with the extensor carpi radialis longus (ECRL) hemitendon.