Suture button reconstruction of the central band of the interosseous membrane in Essex-Lopresti lesions: a comparative biomechanical investigation. Hackl, M., Andermahr, J., Staat, M., Bremer, I., Borggrefe, J., Prescher, A., Müller, L. P., & Wegmann, K. The Journal of Hand Surgery, European volume, 42(4):370–376, 2017. ZSCC: NoCitationData[s0]
Paper doi abstract bibtex Surgical reconstruction of the interosseous membrane may restore longitudinal forearm stability in Essex-Lopresti lesions. This study aimed to compare the longitudinal stability of the intact forearm with a single-bundle and a double-bundle reconstruction of the central band of the interosseous membrane using digital image correlation with a three-dimensional camera system. Single and cyclic axial loading of eight fresh-frozen forearm specimens was carried out in the intact state, after creation of an Essex-Lopresti lesion, after a single-bundle and after a double-bundle reconstruction of the central band using a TightRope® (Arthrex GmbH, Munich, Germany) construct. Instability significantly increased after creation of an Essex-Lopresti lesion. The stability of intact specimens was similar to both reconstruction techniques. The results of this study suggest that TightRope® reconstruction of the central band restores longitudinal forearm stability. However, the single-bundle technique may be less reliable than double-bundle reconstruction. LEVEL OF EVIDENCE Basic Science Study.
@article{hackl_suture_2017,
title = {Suture button reconstruction of the central band of the interosseous membrane in {Essex}-{Lopresti} lesions: a comparative biomechanical investigation.},
volume = {42},
copyright = {All rights reserved},
issn = {2043-6289},
url = {http://journals.sagepub.com/doi/10.1177/1753193416665943 http://www.ncbi.nlm.nih.gov/pubmed/27573130},
doi = {10.1177/1753193416665943},
abstract = {Surgical reconstruction of the interosseous membrane may restore longitudinal forearm stability in Essex-Lopresti lesions. This study aimed to compare the longitudinal stability of the intact forearm with a single-bundle and a double-bundle reconstruction of the central band of the interosseous membrane using digital image correlation with a three-dimensional camera system. Single and cyclic axial loading of eight fresh-frozen forearm specimens was carried out in the intact state, after creation of an Essex-Lopresti lesion, after a single-bundle and after a double-bundle reconstruction of the central band using a TightRope® (Arthrex GmbH, Munich, Germany) construct. Instability significantly increased after creation of an Essex-Lopresti lesion. The stability of intact specimens was similar to both reconstruction techniques. The results of this study suggest that TightRope® reconstruction of the central band restores longitudinal forearm stability. However, the single-bundle technique may be less reliable than double-bundle reconstruction. LEVEL OF EVIDENCE Basic Science Study.},
number = {4},
journal = {The Journal of Hand Surgery, European volume},
author = {Hackl, Michael and Andermahr, J. and Staat, Manfred and Bremer, I. and Borggrefe, J. and Prescher, Andreas and Müller, L. P. and Wegmann, Kilian},
year = {2017},
pmid = {27573130},
note = {ZSCC: NoCitationData[s0] },
keywords = {Essex-Lopresti injury, TightRope, biomechanics, interosseous membrane, longitudinal forearm instability, reconstruction},
pages = {370--376},
}
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