gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Fat graft interposition arthroplasty as a source of stem cells in radiocarpal arthrofibrosis treatment. A Case report of a novel technique

Meeting Abstract

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  • presenting/speaker Carlos Eduardo Torres Fuentes - Fundación Universitaria de Ciencias de la Salud, Hospital San José, Bogotá, Colombia
  • Julian Andres Hernandez Beltran - Fundación Universitaria de Ciencias de la Salud, Hospital San José, Bogotá, Colombia
  • Dario Fernandez Loaiza - Fundación Universitaria de Ciencias de la Salud, Hospital San José, Bogotá, Colombia

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1421

doi: 10.3205/19ifssh0200, urn:nbn:de:0183-19ifssh02009

Veröffentlicht: 6. Februar 2020

© 2020 Torres Fuentes et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: Wrist arthroplasty is a therapeutic option in cases of joint pain that do not respond to other treatments. The use of stem cells is being highly studied for its potential application in different medical fields and has been become an alternative for the management of joint disorders due to its ability to regenerate cartilage and even bone. The aim of this article is to present a new technique in which we use fatty grafts as a source of stem cells for the treatment of radiocarpal joint arthrofibrosis.

Methods: We present the case of a 53-year-old male patient age with a history of left distal radius fracture with articular involvement and a Geisller II scapholunate ligament injury arhroscopically diagnosed that required open reduction, plate internal fixation and arthroscopically ligament debridement. Four months in the follow up the patient reported pain and limited motion arcs. Diagnostic arthroscopy was performed, a severe arthrofibrosis and synovitisis of the radiocarpal joint was evidenced. Fatty grafts were placed through direct arthroscopic visión into proximal wrist joint.

Results and Conclusions: In a 1-year follow-up, we found pain improvement and increase in flexoextension, ulnar and radial deviation movement as well in the grip strength of the wrist. The use of stem cells in arthroplasty procedures is still under study however given the multiple applicability in regenerative processes, multiple donor sites and easy harvest, becomes an alternative for the treatment of degenerative joint pathologies.