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Ligament reconstruction for lunotriquetral instability using a distally based strip of the extensor carpi ulnaris tendon
Stabilization of the lunotriquetral junction. Dynamic and static chronic instability without fixed dislocation of the carpals. Chronically fixed dislocation of the carpals, ulnar impaction syndrome, osteoarthritis of the joint between hamate and triquetrum and other parts of the wrist joint, rheumat...
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Published in: | Operative Orthopädie und Traumatologie 2015-10, Vol.27 (5), p.404-413 |
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creator | Pillukat, T Fuhrmann, R A Windolf, J van Schoonhoven, J |
description | Stabilization of the lunotriquetral junction.
Dynamic and static chronic instability without fixed dislocation of the carpals.
Chronically fixed dislocation of the carpals, ulnar impaction syndrome, osteoarthritis of the joint between hamate and triquetrum and other parts of the wrist joint, rheumatoid arthritis, chondrocalcinosis.
Restoration of the palmar portion of the lunotriquetral ligament using a distally based strip of the extensor carpi ulnaris tendon with temporary fixation of the lunotriquetral junction with K-wires.
Immobilization for 8 weeks with a radial cast that includes the first metacarpophalangeal joint. Removal of the K-wires after 8 weeks and exercise.
The procedure with rare complications reliably restores stability of the lunotriquetral junction. Reduction of grip strength, pain during exercise, and a reduced range of motion persist. Overall, the results are predominantly good and excellent. |
doi_str_mv | 10.1007/s00064-015-0415-7 |
format | article |
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Dynamic and static chronic instability without fixed dislocation of the carpals.
Chronically fixed dislocation of the carpals, ulnar impaction syndrome, osteoarthritis of the joint between hamate and triquetrum and other parts of the wrist joint, rheumatoid arthritis, chondrocalcinosis.
Restoration of the palmar portion of the lunotriquetral ligament using a distally based strip of the extensor carpi ulnaris tendon with temporary fixation of the lunotriquetral junction with K-wires.
Immobilization for 8 weeks with a radial cast that includes the first metacarpophalangeal joint. Removal of the K-wires after 8 weeks and exercise.
The procedure with rare complications reliably restores stability of the lunotriquetral junction. Reduction of grip strength, pain during exercise, and a reduced range of motion persist. Overall, the results are predominantly good and excellent.</description><identifier>EISSN: 1439-0981</identifier><identifier>DOI: 10.1007/s00064-015-0415-7</identifier><identifier>PMID: 26296417</identifier><language>ger</language><publisher>Germany</publisher><subject>Adult ; Female ; Hand Injuries - surgery ; Humans ; Joint Instability - surgery ; Ligaments, Articular - surgery ; Lunate Bone - surgery ; Male ; Reconstructive Surgical Procedures - instrumentation ; Reconstructive Surgical Procedures - methods ; Suture Techniques - instrumentation ; Tendon Transfer - methods ; Tendons - transplantation ; Treatment Outcome ; Triquetrum Bone - surgery ; Young Adult</subject><ispartof>Operative Orthopädie und Traumatologie, 2015-10, Vol.27 (5), p.404-413</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26296417$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pillukat, T</creatorcontrib><creatorcontrib>Fuhrmann, R A</creatorcontrib><creatorcontrib>Windolf, J</creatorcontrib><creatorcontrib>van Schoonhoven, J</creatorcontrib><title>Ligament reconstruction for lunotriquetral instability using a distally based strip of the extensor carpi ulnaris tendon</title><title>Operative Orthopädie und Traumatologie</title><addtitle>Oper Orthop Traumatol</addtitle><description>Stabilization of the lunotriquetral junction.
Dynamic and static chronic instability without fixed dislocation of the carpals.
Chronically fixed dislocation of the carpals, ulnar impaction syndrome, osteoarthritis of the joint between hamate and triquetrum and other parts of the wrist joint, rheumatoid arthritis, chondrocalcinosis.
Restoration of the palmar portion of the lunotriquetral ligament using a distally based strip of the extensor carpi ulnaris tendon with temporary fixation of the lunotriquetral junction with K-wires.
Immobilization for 8 weeks with a radial cast that includes the first metacarpophalangeal joint. Removal of the K-wires after 8 weeks and exercise.
The procedure with rare complications reliably restores stability of the lunotriquetral junction. Reduction of grip strength, pain during exercise, and a reduced range of motion persist. Overall, the results are predominantly good and excellent.</description><subject>Adult</subject><subject>Female</subject><subject>Hand Injuries - surgery</subject><subject>Humans</subject><subject>Joint Instability - surgery</subject><subject>Ligaments, Articular - surgery</subject><subject>Lunate Bone - surgery</subject><subject>Male</subject><subject>Reconstructive Surgical Procedures - instrumentation</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Suture Techniques - instrumentation</subject><subject>Tendon Transfer - methods</subject><subject>Tendons - transplantation</subject><subject>Treatment Outcome</subject><subject>Triquetrum Bone - surgery</subject><subject>Young Adult</subject><issn>1439-0981</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNo1kE1LxDAQhoMg7rr6A7xIjl6q-WraHGXxCxa86Lmk7WSNpElNUtj99wZcLzPMO8-88A5CN5TcU0Kah0QIkaIitK6IKKU5Q2squKqIaukKXab0XQguG3qBVkwyJQVt1uiws3s9gc84whB8ynEZsg0emxCxW3zI0f4skKN22Ja17q2z-YiXZP0eazzaojl3xL1OMOJyb2ccDM5fgOGQwafiM-g4W7w4r6NNuIhj8Ffo3GiX4PrUN-jz-elj-1rt3l_eto-7aqaC5koAa3sGRPFGKyO51C2Mhg9Syno0hhnJjIGaC27qMvQDUaytJa0lCNYSyTfo7s93jqEESbmbbBrAOe0hLKmjDW0550o0Bb09oUs_wdjN0U46Hrv_b_Ffov5tXQ</recordid><startdate>201510</startdate><enddate>201510</enddate><creator>Pillukat, T</creator><creator>Fuhrmann, R A</creator><creator>Windolf, J</creator><creator>van Schoonhoven, J</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201510</creationdate><title>Ligament reconstruction for lunotriquetral instability using a distally based strip of the extensor carpi ulnaris tendon</title><author>Pillukat, T ; Fuhrmann, R A ; Windolf, J ; van Schoonhoven, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-4e28b2e0937a9f636a8edf3c6665dff2f62ffe5343f52f6bc092856156e428063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>ger</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Female</topic><topic>Hand Injuries - surgery</topic><topic>Humans</topic><topic>Joint Instability - surgery</topic><topic>Ligaments, Articular - surgery</topic><topic>Lunate Bone - surgery</topic><topic>Male</topic><topic>Reconstructive Surgical Procedures - instrumentation</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Suture Techniques - instrumentation</topic><topic>Tendon Transfer - methods</topic><topic>Tendons - transplantation</topic><topic>Treatment Outcome</topic><topic>Triquetrum Bone - surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pillukat, T</creatorcontrib><creatorcontrib>Fuhrmann, R A</creatorcontrib><creatorcontrib>Windolf, J</creatorcontrib><creatorcontrib>van Schoonhoven, J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Operative Orthopädie und Traumatologie</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pillukat, T</au><au>Fuhrmann, R A</au><au>Windolf, J</au><au>van Schoonhoven, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ligament reconstruction for lunotriquetral instability using a distally based strip of the extensor carpi ulnaris tendon</atitle><jtitle>Operative Orthopädie und Traumatologie</jtitle><addtitle>Oper Orthop Traumatol</addtitle><date>2015-10</date><risdate>2015</risdate><volume>27</volume><issue>5</issue><spage>404</spage><epage>413</epage><pages>404-413</pages><eissn>1439-0981</eissn><abstract>Stabilization of the lunotriquetral junction.
Dynamic and static chronic instability without fixed dislocation of the carpals.
Chronically fixed dislocation of the carpals, ulnar impaction syndrome, osteoarthritis of the joint between hamate and triquetrum and other parts of the wrist joint, rheumatoid arthritis, chondrocalcinosis.
Restoration of the palmar portion of the lunotriquetral ligament using a distally based strip of the extensor carpi ulnaris tendon with temporary fixation of the lunotriquetral junction with K-wires.
Immobilization for 8 weeks with a radial cast that includes the first metacarpophalangeal joint. Removal of the K-wires after 8 weeks and exercise.
The procedure with rare complications reliably restores stability of the lunotriquetral junction. Reduction of grip strength, pain during exercise, and a reduced range of motion persist. Overall, the results are predominantly good and excellent.</abstract><cop>Germany</cop><pmid>26296417</pmid><doi>10.1007/s00064-015-0415-7</doi><tpages>10</tpages></addata></record> |
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language | ger |
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subjects | Adult Female Hand Injuries - surgery Humans Joint Instability - surgery Ligaments, Articular - surgery Lunate Bone - surgery Male Reconstructive Surgical Procedures - instrumentation Reconstructive Surgical Procedures - methods Suture Techniques - instrumentation Tendon Transfer - methods Tendons - transplantation Treatment Outcome Triquetrum Bone - surgery Young Adult |
title | Ligament reconstruction for lunotriquetral instability using a distally based strip of the extensor carpi ulnaris tendon |
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