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Suture-Button Reconstruction of the Interosseous Membrane.

MedStar author(s):

Citation: Journal of Wrist Surgery. 5(3):179-83, 2016 AugPMID: 27468367Institution: Curtis National Hand CenterForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: PubMed-not-MEDLINE -- Not indexedYear: 2016 ISSN:

2163-3916

Name of journal: Journal of wrist surgeryAbstract: BACKGROUND: Reconstruction of the interosseous membrane (IOM) may play a role in the treatment of acute and chronic longitudinal forearm instability. Several reconstruction techniques have been proposed. Suture-button reconstruction is attractive because it obviates donor site morbidity and is relatively easy to perform. How this method compares to its alternatives, however, is unknown.CONCLUSIONS: Suture-button reconstruction of the IOM may encourage anatomic healing of acute forearm axis injuries especially as an adjunct to radial head replacement or repair. Chronic injuries may benefit from a combination suture-button graft construct and ulnar shortening osteotomy.DESCRIPTION OF TECHNIQUE: A suture-button is implanted so as to approximate the course of the interosseous ligament. This may be accomplished percutaneously, or when grafting is desired, through an open approach.MATERIALS AND METHODS: We review literature describing reconstruction of the forearm axis. We describe how we perform suture-button reconstruction of the IOM, summarize our previously published biomechanical data on the subject, and offer a case report.RESULTS: Data informing the choice of one reconstruction technique over another consist mostly of biomechanical studies and a small number of case reports.All authors: Forthman CL, Meals CG, Segalman KAFiscal year: FY2018Digital Object Identifier:

https://dx.doi.org/10.1055/s-0036-1584547

Date added to catalog: 2017-08-04

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Title notes ( 6 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	27468367	Available		27468367

BACKGROUND: Reconstruction of the interosseous membrane (IOM) may play a role in the treatment of acute and chronic longitudinal forearm instability. Several reconstruction techniques have been proposed. Suture-button reconstruction is attractive because it obviates donor site morbidity and is relatively easy to perform. How this method compares to its alternatives, however, is unknown.

CONCLUSIONS: Suture-button reconstruction of the IOM may encourage anatomic healing of acute forearm axis injuries especially as an adjunct to radial head replacement or repair. Chronic injuries may benefit from a combination suture-button graft construct and ulnar shortening osteotomy.

DESCRIPTION OF TECHNIQUE: A suture-button is implanted so as to approximate the course of the interosseous ligament. This may be accomplished percutaneously, or when grafting is desired, through an open approach.

MATERIALS AND METHODS: We review literature describing reconstruction of the forearm axis. We describe how we perform suture-button reconstruction of the IOM, summarize our previously published biomechanical data on the subject, and offer a case report.

RESULTS: Data informing the choice of one reconstruction technique over another consist mostly of biomechanical studies and a small number of case reports.

English