Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/70476
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dc.creatorGustavo Pacheco Martins Ferreirapt_BR
dc.creatorMarcella Rodrigues Costa Simõespt_BR
dc.creatorHaroldo Oliveira de Freitas Juniorpt_BR
dc.creatorUbiratan Brum de Castropt_BR
dc.creatorRobinson Esteves Santos Pirespt_BR
dc.creatorMarco Antonio Percope de Andradept_BR
dc.date.accessioned2024-07-12T20:16:53Z-
dc.date.available2024-07-12T20:16:53Z-
dc.date.issued2020-09-29-
dc.citation.volume7pt_BR
dc.citation.spage1pt_BR
dc.citation.epage9pt_BR
dc.identifier.doi10.1186/s40634-020-00291-1pt_BR
dc.identifier.issn2197-1153pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/70476-
dc.description.resumoPurpose: This study aims to describe and biomechanically evaluate a novel technique using a strip of the flexor carpi ulnaris tendon for distal radioulnar joint reconstruction. Methods: Surgical technique was thoroughly detailed, and a cadaveric biomechanical test was conducted to evaluate sagittal plane stability. Pronosupination range of motion was measured before and after the procedure. Dorsal and volar translation resistances were checked in three situations: with the uninjured triangular fibrocartilage complex, after its complete resection and after the surgical procedure. Results: For distal radioulnar joint translation, higher values were found both in dorsal and volar translation in situations with an injured triangular fibrocartilage complex, with means equal to 25.4 mm (SD: 9.4 mm) and 26.1 mm (SD: 8.0 mm), respectively. For intact triangular fibrocartilage complex, both dorsal and volar translations averages were 3.4 mm (SD: 0.9 mm) and 4.5 mm (SD: 1.8 mm), respectively. Finally, when evaluating dorsal and volar translations after surgical reconstruction, means were 6.3 mm (SD: 1.3 mm) and 6.8 mm (SD: 0.9 mm), respectively. Regarding supination and pronation range of motion, which ranged from 57.9 to 63.4o, there were no differences in mean and median measures, when the cadavers with intact and reconstructed triangular fibrocartilage complex were compared (p > 0.05). Conclusion: Promising mechanical evaluations encourage us to hypothesize that the technique effectively reconstructs the dorsal and volar radioulnar ligaments, preserving pronosupination and maintaining the physiological characteristics of the wrist joint. Clinical comparative studies are still necessary to fully validate this procedure.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTORpt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofJournal of Experimental Orthopaedicspt_BR
dc.rightsAcesso Abertopt_BR
dc.subject.otherArticulação do Punhopt_BR
dc.subject.otherTraumatismos do Punhopt_BR
dc.subject.otherFibrocartilagem Triangularpt_BR
dc.subject.otherInstabilidade Articularpt_BR
dc.subject.otherProcedimentos Ortopédicospt_BR
dc.titleRadioulnar joint reconstruction: a novel surgical technique and biomechanical assessment for chronic instabilitypt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://jeo-esska.springeropen.com/articles/10.1186/s40634-020-00291-1pt_BR
Appears in Collections:Artigo de Periódico



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