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Reconstructing the interosseous membrane: a technique using synthetic graft and endobuttons
1Upper Limb Unit, Wrightington Hospital, Wigan, Lancashire, UK. marlis.sabo@gmail.com
Techniques in Hand & Upper Extremity Surgery
|November 20, 2012
Summary
Reconstruction of the forearm interosseous membrane using synthetic grafts shows promise for restoring stability after injury. Early results suggest clinical improvement, though long-term durability requires further investigation.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Longitudinal instability injuries disrupt forearm anatomy and biomechanics.
- Restoring the interosseous membrane is crucial for forearm function.
Purpose of the Study:
- To describe a synthetic graft reconstruction technique for forearm interosseous membrane.
- To evaluate early clinical outcomes of this emerging procedure.
Main Methods:
- Utilized a synthetic braided graft secured with endobuttons in radial and ulnar tunnels.
- Combined reconstruction with procedures like radial head replacement and ulnar osteotomies.
Main Results:
- Early clinical improvement observed in patients undergoing the reconstruction.
- The technique is adaptable for complex forearm instability cases.
Conclusions:
- Synthetic graft reconstruction is a viable option for forearm longitudinal instability.
- Encouraging early results warrant further long-term follow-up for durability assessment.
