Masouros Panagiotis T, Apergis Emmanuel P, Babis George C, Pernientakis Stylianos S, Igoumenou Vasilios G, Mavrogenis Andreas F, Nikolaou Vasileios S
Department of Orthopaedics, Evangelismos General Hospital, Athens, Greece.
Korgialeneio Mpenakeio Hellenic Red Cross Hospital, Athens, Greece.
EFORT Open Rev. 2019 Apr 29;4(4):143-150. doi: 10.1302/2058-5241.4.180072. eCollection 2019 Apr.
Reconstruction of the central band of the interosseous membrane is an emerging procedure implemented in the treatment of longitudinal radioulnar dissociation (LRUD), usually in its chronic setting, after Essex-Lopresti injuries of the forearm.There are no sufficient clinical data to support reconstruction of the central band of the interosseous membrane in acute LRUD injuries.Clinical and cadaveric studies comparing autografts (palmaris longus, flexor carpi radialis and bone-patellar-bone), allografts (Achilles tendon) and synthetic ligaments have not shown superiority of one technique another; however, they have shown special concerns with respect to the use of synthetic grafts.Latrogenic fracture, decrease of rotational range of movement, iatrogenic nerve injury (superficial radial and median nerve), donor site morbidity with autografts and recurrent instability are the complications reported in literature after interosseous membrane reconstruction. Cite this article: 2019;4:143-150. DOI: 10.1302/2058-5241.4.180072.
重建骨间膜中央束是一种新兴的手术方法，通常用于治疗前臂埃塞克斯-洛普雷斯蒂损伤后慢性状态下的桡尺远侧关节纵向分离（LRUD）。目前尚无足够的临床数据支持在急性LRUD损伤中重建骨间膜中央束。比较自体移植物（掌长肌、桡侧腕屈肌和骨-髌腱-骨）、同种异体移植物（跟腱）和合成韧带的临床及尸体研究未显示出一种技术优于另一种技术；然而，这些研究对合成移植物的使用表明了特别关注。医源性骨折、活动旋转范围减小、医源性神经损伤（桡神经浅支和正中神经）、自体移植物供区并发症以及复发性不稳定是文献报道的骨间膜重建术后并发症。引用本文：2019；4：143 - 150。DOI：10.1302/2058 - 5241.4.180072。
