Brin Yaron S, Palmanovich Ezequiel, Bivas Asaf, Sagiv Paul, Kotz Evgeny, Nyska Meir, Kish Benyamin J
Department of Orthopaedic Surgery, Meir Medical Center, Tel-Aviv University, Kfar-Saba, Israel.
Tech Hand Up Extrem Surg. 2014 Mar;18(1):51-5. doi: 10.1097/BTH.0000000000000036.
Essex-Lopresti injury consists of a fracture or dislocation of the radial head, rupture of the interosseous membrane (IOM), which is the main pathology, and a dislocated distal radio-ulnar joint. There are several reports in the literature, including cadaveric studies, which suggest an operative solution for this complicated injury. The torn IOM is not treated during the traditional operative repair. In the following paper, we suggest a treatment for the IOM by unloading it with the TightRope device. This device temporarily takes the tension off the torn IOM and assists in reduction and maintenance of the longitudinal ratios between the radius and the ulna, while allowing its healing. Recently, we have treated one patient with this system. The application of the TightRope technique in this acute injury and the follow-up are described in this case report.
埃塞克斯-洛普雷斯蒂损伤包括桡骨头骨折或脱位、骨间膜（IOM）破裂（这是主要病理改变）以及下尺桡关节脱位。文献中有多篇报道，包括尸体研究，都提出了针对这种复杂损伤的手术解决方案。在传统手术修复过程中，撕裂的骨间膜未得到处理。在下文，我们提出一种通过使用TightRope装置卸载骨间膜来进行治疗的方法。该装置可暂时消除撕裂骨间膜上的张力，并有助于恢复和维持桡骨与尺骨之间的纵向比例，同时使其愈合。最近，我们用该系统治疗了一名患者。本病例报告描述了TightRope技术在这种急性损伤中的应用及随访情况。
