Stabilisierung des distalen Radioulnargelenkes nach Adams: Klinische und radiologische Ergebnisse

Gugger, Y.; Mühldorfer, M.; Prommersberger, Karl-Josef; Schoonhoven, J. van

doi:10.1055/s-0035-1559721

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…[ 29 – 31 ]. Gugger et al [ 32 ] reported a grip strength of 21.2 kg post-surgery, which equals 69% of the untreated side. Liu et al reported also a lower grip strength, 26.4 kg, post-surgery [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

A human, allogeneic cortical bone screw for distal interphalangeal joint (DIP) arthrodesis: a retrospective cohort study with at least 10 months follow-up

Krasny

Radda

Polke

et al. 2023

Arch Orthop Trauma Surg

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Introduction The prime requisites of a good digital arthrodesis are a painless and stable union in a proper position. Arthrodesis of the distal interphalangeal joint of the fingers is not without potential complications including nonunion, malunion, and deep tissue infections. The Shark Screw® is a human, cortical bone allograft for osteosynthesis and an alternative to metal or bioabsorbable devices in orthopedics and trauma surgery. The primary hypothesis is that the fusion and complication rate, using the Shark Screw®, is at least similar to those reported in the literature, using metal or bioabsorbable screws. Material and methods This retrospective cohort study analyzes the fusion and complication rate and the patient satisfaction of distal interphalangeal joint arthrodesis of 27 fingers with the human allogeneic cortical bone screw. Complications, Disabilities of Arm, Shoulder, and Hand Questionnaire (Quick-DASH) score and Michigan Hand Outcomes Questionnaire (MHQ) score, grip and pinch strength and fusion angle were investigated. Results The mean follow-up was 23 months. At 6 weeks after surgery, fusion was obtained for all fingers. There was no surgical complication that required revision surgery. An average fusion angle of 13.6° ± 10.7° was measured. VAS pain score decreased significantly from 6.9 before surgery to 0.14 after surgery. The Quick-DASH score decreased from 10.7 to 7.8. The MHQ score improved in all sub-scores. Conclusion The complication rates, using the Shark Screw® for DIP joint arthrodesis, are lower compared to the results reported in the literature for other surgical techniques. Complications related to the human allograft cortical bone screw itself were not observed. The bone screw is completely remodeled into the host bone and further hardware removal is not necessary. Level of evidence IV.

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Section: Discussionmentioning

confidence: 99%

A human, allogeneic cortical bone screw for distal interphalangeal joint (DIP) arthrodesis: a retrospective cohort study with at least 10 months follow-up

Krasny

Radda

Polke

et al. 2023

Arch Orthop Trauma Surg

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“…Our clinical outcomes were comparable to anatomical ligament reconstruction performed in adult patients. Our measurement for grip strength was 90% of the contralateral side while Adams and Berger [7] measured an average postoperative grip strength of 85%, Gugger et al [9] measured an average postoperative grip strength of only 69% and Thomas et al [10] measured 89.7% compared with the healthy hand.…”

Section: Discussionmentioning

confidence: 99%

“…Our findings were 88 and 86% of the contralateral side for the pronation and supination ROM, respectively. Adams and Berger [7] reported average postoperative pronation-supination ROM of 84% and 80%, respectively, while Gugger et al [9] reported a postoperative ROM for pronation and supination of 89% and Kootstra et al [10] reported an average of 90.2 and 93.0% for pronation and supination ROM, respectively.…”

Section: Discussionmentioning

confidence: 99%

Physeal sparing distal radio-ulnar joint ligament reconstruction in children

Aly

El-Sadek

2020

Journal of Pediatric Orthopaedics B

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Distal radio-ulnar joint (DRUJ) injuries are underreported in the paediatric population. No single study has discussed methods of DRUJ reconstruction in immature patients with chronic instability. We present a physeal sparing ligamentoplasty for chronic DRUJ instability and describe the outcomes in two patients. Two consecutive children with chronic DRUJ instability were treated using physeal sparing ligamentoplasy. After the failure of triangular fibrocartilage complex repair, reconstruction was done using palmaris longus tendon graft that was tunnelled through the distal radius epiphysis and wrapped subperiosteally around the ulnar neck. Graft was tied in a neutral forearm position. DRUJ stability was achieved in both patients. Grip strength averaged 90% of the healthy side. Prono-supination range of motion (ROM) averaged 88 and 86%, respectively, of the healthy side, without intraoperative nor postoperative complications. Our novel technique was effective in the regain of DRUJ stability with minor effect on the prono-supination ROM. Further studies are planned to experiment the biomechanical effectiveness of our technique. Level of evidence: Therapeutic IV.

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Rekonstruktion der tiefen Anteile der distalen radioulnaren Bandstrukturen mit einem Sehnentransplantat – Operation nach Adams

Spies¹,

Langer

Müller

et al. 2019

Oper Orthop Traumatol

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Stabilisierung des distalen Radioulnargelenkes nach Adams: Klinische und radiologische Ergebnisse

Cited by 4 publications

References 3 publications

A human, allogeneic cortical bone screw for distal interphalangeal joint (DIP) arthrodesis: a retrospective cohort study with at least 10 months follow-up

A human, allogeneic cortical bone screw for distal interphalangeal joint (DIP) arthrodesis: a retrospective cohort study with at least 10 months follow-up

Physeal sparing distal radio-ulnar joint ligament reconstruction in children

Rekonstruktion der tiefen Anteile der distalen radioulnaren Bandstrukturen mit einem Sehnentransplantat – Operation nach Adams

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