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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Preliminary Study Using A Synthetic Ligament in DRUJ reconstruction

Meeting Abstract

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  • presenting/speaker Shalimar Abdullah - Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • Levin Kesu Belani - Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • Mohd Zaim Rashid - Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • Jamari Sapuan - Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia

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. DocIFSSH19-925

doi: 10.3205/19ifssh1276, urn:nbn:de:0183-19ifssh12769

Veröffentlicht: 6. Februar 2020

© 2020 Abdullah 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/.

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Objectives/Interrogation: In chronic DRUJ instability, one of the popular methods is utilizing the palmaris longus as a graft in techniques such as the Adams techniques. However we have found that the palmaris longus can be short. We have exchanged the palmaris longus with a synthetic tendon named Orthotape - polyethylene teraphtalate mesh [1].

Methods: A 45-year-old male had a poorly treated comminuted distal end radius fracture and DRUJ instability fixed with a 1/3 tubular plate and K-wires by a private surgeon. Due to the poor fixation physiotherapy was not instituted. After 3 months, he presented to us and we revised the fixation with a locking distal radius system and instituted immediate physiotherapy. His progress went well and 3 months later, his only concern was the DRUJ instability. We opted for the Adams DRUJ reconstruction utilizing a synthetic ligament.

Results and Conclusions: At 6 months post-operatively, his wrist stability had improved and his DASH score has reduced from 39 to 7.5. However radiographically the DRUJ space which immediately post-operatively was obliterated has reopened.

Synthetic ligament remains as an alternative in DRUJ reconstruction and can offer good functional outcome to the patient. However a longer follow-up study needs to be done.

Gliederung

References

1.
Shalimar A. Usage of synthetic tendons in tendon reconstruction. BMC Proc. 2015;9(Suppl 3):A68.