Hearon Bernard F, Frantz Lisa M, Morris Harry A
Department of Orthopaedic Surgery, University of Kansas School of Medicine, Wichita, KS; Advanced Orthopaedic Associates, PA, Wichita, KS.
Department of Orthopaedic Surgery, University of Kansas School of Medicine, Wichita, KS.
J Hand Surg Am. 2020 Nov;45(11):1092.e1-1092.e8. doi: 10.1016/j.jhsa.2020.08.001. Epub 2020 Sep 29.
Thirty years ago, the first anatomic reconstruction of the palmar and dorsal radioulnar ligaments for chronic distal radioulnar joint (DRUJ) instability was proposed by Sanders. In this surgical technique, the midpoint of a free tendon autograft is firmly secured in a bony tunnel at the ulnar fovea. The 2 graft limbs anchored at the fovea traverse the DRUJ and are securely woven into the periarticular soft tissues radially, reproducing the ligamentous anatomy while not overconstraining the joint. This report documents the original anatomic DRUJ reconstruction technique described by Sanders and our procedure modifications.
30年前，桑德斯首次提出了用于慢性桡尺远侧关节（DRUJ）不稳的掌侧和背侧桡尺韧带的解剖重建。在这种手术技术中，游离肌腱自体移植物的中点被牢固地固定在尺骨凹的骨隧道中。锚固在尺骨凹处的2条移植物肢体穿过DRUJ，并牢固地径向编织到关节周围软组织中，再现韧带解剖结构，同时不过度限制关节。本报告记录了桑德斯描述的原始解剖学DRUJ重建技术以及我们的手术改良方法。
