Article
Treatment of radiocubital distal instability with endo button system
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Authors
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Willian Alvarez
- Hospital Militar N°1 Quito Ecuador, Escuela de Medicina Universidad Central del Ecuador, Quito Hand Center, Quito, Ecuador
| Published: | February 6, 2020 |
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Outline
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Objectives/Interrogation: Determine the results achieved in the short term with the Álvarez - Hidalgo Technique with the Tight Rope endoboton anchor system of small joints.
Methods: Patients with clinical symptoms and positive signs consistent with IRCD, admitted to the No. 1 General Hospital of the Armed Forces (Quito-Ecuador), between January 2013 and December 2015.
Design: Prospective cohort.
Main measurements: Clinical controls performed at 7, 15, 30, 60 and 90 days postoperatively.
Results and Conclusions: We studied 34 patients surgically treated with the Álvarez - Hidalgo Technique with the Tight Rope endoboton anchorage system of small joints for the stabilization of the distal radio - ulnar joint. The proportion of men was significantly higher than that of women (61.7% vs. 38.2% p <0.001) In the total group, the average age was 38 ± 12.5 years, with a range of 20 to 56 years. The largest number of patients was agglutinated in the age group of 27 to 45 years (48.9%, 95% CI = 40.4% - 57.5%), with significant differences compared to the other age groups.
The location of the IRCD was usually the right hand (n = 102, 73.4%). There were no surgical complications. Six months after the postoperative period, most of the patients who had undergone surgery had achieved a significant clinical improvement in the parameters evaluated. Complete normality was reached in 96.47% of the cases, with respect to pain, 97.05% reported a total decrease, only one patient reported pain on the EVa scale of 2/10. The mobility arcs were recovered within the normal parameter by 94.11%, 5.88% was classified within a degree of medium. Stability (absence of the key sign) was observed in 100% of the patients. The capacity to hold weights - force was established at 91.17%. Total postoperative satisfaction was reported by 100% of the patients. Considering the clinical results classified as excellent and good (Table 2 and Table 4), the overall frequency of surgical successes was 97%.
The technique of Alvarez - Hidalgo with the Tight Rope endoboton anchor system of small joints used for the IRCD achieves favorable clinical results. The wrist arthroscopic procedure is of the utmost importance, since it allows to visualize complementary lesions of the FCTC and to apply an opportune treatment.
