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本文引用的文献

1
Treating acute Essex-Lopresti injury with the TightRope device: a case study.使用TightRope装置治疗急性埃塞克斯-洛普雷斯蒂损伤：一项病例研究。
Tech Hand Up Extrem Surg. 2014 Mar;18(1):51-5. doi: 10.1097/BTH.0000000000000036.
2
Comparison of 2 forearm reconstructions for longitudinal radioulnar dissociation: a cadaver study.用于治疗桡尺骨纵向分离的两种前臂重建方法的比较：一项尸体研究。
J Hand Surg Am. 2012 Apr;37(4):741-7. doi: 10.1016/j.jhsa.2012.01.025. Epub 2012 Mar 6.
3
Restoration of longitudinal forearm stability using a suture button construct.使用缝线纽扣结构恢复前臂纵向稳定性。
J Hand Surg Am. 2010 Dec;35(12):1981-5. doi: 10.1016/j.jhsa.2010.09.009.
4
Suture-button construct for interosseous ligament reconstruction in longitudinal radioulnar dissociations: a biomechanical study.用于桡尺远侧关节纵向分离时骨间韧带重建的缝线纽扣装置：一项生物力学研究
J Hand Surg Am. 2010 Oct;35(10):1626-32. doi: 10.1016/j.jhsa.2010.07.020.
5
Longitudinal radioulnar dissociation: identification and treatment of acute and chronic injuries.桡尺骨纵向分离：急性和慢性损伤的识别与治疗
Hand Clin. 2007 May;23(2):195-208, vi. doi: 10.1016/j.hcl.2007.01.005.
6
Reconstruction of the interosseous ligament unloads metallic radial head arthroplasty and the distal ulna in cadavers.骨间韧带重建可减轻尸体模型中金属桡骨头置换术及尺骨远端的负荷。
J Hand Surg Am. 2006 Feb;31(2):269-78. doi: 10.1016/j.jhsa.2005.09.022.
7
Graft reconstruction of the interosseous membrane in conjunction with metallic radial head replacement: a cadaveric study.结合金属桡骨头置换术的骨间膜移植重建：一项尸体研究。
J Hand Surg Am. 2005 Mar;30(2):335-42. doi: 10.1016/j.jhsa.2004.07.022.
8
Reconstruction of the interosseous membrane of the forearm with a graft substitute: a cadaveric study.使用移植替代物重建前臂骨间膜：一项尸体研究。
J Hand Surg Am. 2005 Mar;30(2):326-34. doi: 10.1016/j.jhsa.2004.05.017.
9
Reconstruction of the interosseous ligament restores normal forearm compressive load transfer in cadavers.骨间韧带重建可恢复尸体前臂正常的压力负荷传递。
J Hand Surg Am. 2005 Mar;30(2):319-25. doi: 10.1016/j.jhsa.2004.10.005.
10
Structural properties of reconstruction constructs for the interosseous ligament of the forearm.前臂骨间韧带重建结构的结构特性
J Hand Surg Am. 2005 Mar;30(2):312-8. doi: 10.1016/j.jhsa.2004.11.018.

骨间膜的缝线纽扣重建术

Suture-Button Reconstruction of the Interosseous Membrane.

作者信息

Meals Clifton G, Forthman Christopher L, Segalman Keith A

机构信息

The Curtis National Hand Center at The MedStar Union Memorial Hospital, Baltimore, Maryland.

出版信息

J Wrist Surg. 2016 Aug;5(3):179-83. doi: 10.1055/s-0036-1584547. Epub 2016 Jun 20.

DOI:10.1055/s-0036-1584547
PMID:27468367
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4959895/
Abstract

BACKGROUND

Reconstruction of the interosseous membrane (IOM) may play a role in the treatment of acute and chronic longitudinal forearm instability. Several reconstruction techniques have been proposed. Suture-button reconstruction is attractive because it obviates donor site morbidity and is relatively easy to perform. How this method compares to its alternatives, however, is unknown.

MATERIALS AND METHODS

We review literature describing reconstruction of the forearm axis. We describe how we perform suture-button reconstruction of the IOM, summarize our previously published biomechanical data on the subject, and offer a case report.

DESCRIPTION OF TECHNIQUE

A suture-button is implanted so as to approximate the course of the interosseous ligament. This may be accomplished percutaneously, or when grafting is desired, through an open approach.

RESULTS

Data informing the choice of one reconstruction technique over another consist mostly of biomechanical studies and a small number of case reports.

CONCLUSIONS

Suture-button reconstruction of the IOM may encourage anatomic healing of acute forearm axis injuries especially as an adjunct to radial head replacement or repair. Chronic injuries may benefit from a combination suture-button graft construct and ulnar shortening osteotomy.

摘要

背景

骨间膜（IOM）重建可能在急慢性前臂纵向不稳定的治疗中发挥作用。已经提出了几种重建技术。缝线纽扣重建具有吸引力，因为它避免了供区并发症，并且相对容易实施。然而，这种方法与其他方法相比如何尚不清楚。

材料与方法

我们回顾了描述前臂轴线重建的文献。我们描述了我们如何进行IOM的缝线纽扣重建，总结了我们之前发表的关于该主题的生物力学数据，并提供了一份病例报告。

技术描述

植入缝线纽扣以近似骨间韧带的走行。这可以通过经皮完成，或者在需要移植时通过开放入路完成。

结果

指导选择一种重建技术而非另一种重建技术的数据主要包括生物力学研究和少量病例报告。

结论

IOM的缝线纽扣重建可能促进急性前臂轴线损伤的解剖愈合，特别是作为桡骨头置换或修复的辅助手段。慢性损伤可能受益于缝线纽扣移植结构和尺骨短缩截骨术的联合应用。