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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Functional outcomes of the Adams-Berger Ligament Reconstruction for the Distal Radioulnar Joint Instability in 95 Consecutive Cases

Meeting Abstract

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  • presenting/speaker Endre Soreide - Department of Orthopedic Surgery, Mayo Clinic, Rochester, United States
  • Assaf Kadar - Department of Orthopedic Surgery, Mayo Clinic, Rochester, United States
  • Joshua Gillis - Department of Orthopedic Surgery, Mayo Clinic, Rochester, United States
  • Joseph Khouri - Department of Orthopedic Surgery, Mayo Clinic, Rochester, United States
  • Richard Berger - Department of Orthopedic Surgery, Mayo Clinic, Rochester, United States
  • Steven Moran - Department of Orthopedic Surgery, Division of plastic and reconstructive surgery, Mayo Clinic, Rochester, United States

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. DocIFSSH19-828

doi: 10.3205/19ifssh1277, urn:nbn:de:0183-19ifssh12773

Veröffentlicht: 6. Februar 2020

© 2020 Soreide 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: To evaluate the outcomes and complication rate for Adams-Berger anatomic reconstruction of the distal radio-ulnar joint (DRUJ).

Methods: Retrospective chart review to evaluate adult patients that had undergone reconstruction of the DRUJ for instability with the Adams-Berger procedure between 1998-2015 within our institution. Charts were reviewed for patient demographics, mechanism of injury, outcome, surgery related data and complications.

Results and Conclusions: 95 wrists in 93 patients were included. Mean (SD) age at surgery was 37.3 years (+12.7 years) and follow-up time was 65.8 months (63.2 months). At the last follow-up, 90.8% of the patients presented a stable DRUJ, 3.4% had mild laxity, while 5.3% had signs of instability. Compared to preoperative measurements, grip strength had increased, and pronation and supination decreased. Patients reported improvement in overall pain scores, and none of the patients reported severe pain of their wrist at last follow up. Six patients suffered from ulnar neuropraxia.

Overall, graft survival was 87.4%. 12 patients had undergone revision surgery, with a mean time from primary reconstructive surgery to revision surgery of 13.3 months. Female and use of interference screw for graft fixation was associated with higher failure rates.

Our findings demonstrate that Adams-Berger anatomic ligament reconstruction of the DRUJ provides reliable long-term functional results with an overall graft survival of 87% at >5 years follow-up.