دورية أكاديمية
Novel figure-of-eight reconstruction with free tendon graft for unrepairable collateral ligament of the thumb metacarpophalangeal joint.
| العنوان: | Novel figure-of-eight reconstruction with free tendon graft for unrepairable collateral ligament of the thumb metacarpophalangeal joint. |
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| المؤلفون: | Baek JH; Department of Orthopedic Surgery, Kyung Hee University Hospital, School of Medicine, Kyung Hee University, 23 Kyunghee-daero, Dongdaemun-gu, Seoul, 02447, Korea. Electronic address: paeton81@naver.com., Lee JH; Department of Orthopedic Surgery, Yeson Hospital, 206 Bucheon-ro, Bucheon-si, Gyeonggi-do, 14555, Korea. Electronic address: ljhos69@naver.com., Ku KH; Department of Orthopedic Surgery, Kyung Hee University Hospital at Gangdong, School of Medicine, Graduate School, Kyung Hee University, 892 Dongnam-ro, Gangdong-gu, Seoul, 05278, Korea. Electronic address: bestdoctorku@gmail.com. |
| المصدر: | Hand surgery & rehabilitation [Hand Surg Rehabil] 2024 Jun; Vol. 43 (3), pp. 101696. Date of Electronic Publication: 2024 Apr 22. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Masson SAS Country of Publication: France NLM ID: 101681801 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2468-1210 (Electronic) Linking ISSN: 24681210 NLM ISO Abbreviation: Hand Surg Rehabil Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Issy-les-Moulineaux : Elsevier Masson SAS, [2016]- |
| مواضيع طبية MeSH: | Metacarpophalangeal Joint*/surgery , Thumb*/surgery , Thumb*/injuries , Collateral Ligaments*/surgery , Range of Motion, Articular* , Hand Strength* , Tendons*/transplantation, Humans ; Male ; Adult ; Retrospective Studies ; Female ; Middle Aged ; Plastic Surgery Procedures/methods ; Young Adult |
| مستخلص: | Objectives: This study aimed to report surgical technique and clinical outcomes for a novel figure-of-eight collateral ligament reconstruction technique using palmaris longus autograft for chronic irreparable collateral ligament injury of the thumb metacarpophalangeal joint. Material and Methods: The Jobe elbow collateral ligament reconstruction method was adapted for thumb metacarpophalangeal joint collateral ligament reconstruction. Sixteen reconstructions (7 ulnar collateral ligament, 9 radial collateral ligament) using palmaris longus autograft were reviewed retrospectively. Surgery was performed at a mean 12 months post-injury. All 16 patients were followed up for more than 1 year. Metacarpophalangeal joint radial and ulnar deviation, metacarpophalangeal and interphalangeal joint range of motion, key pinch and grip strength, Glickel functional grade and QuickDASH score were evaluated. Results: Preoperative radial or ulnar deviation improved from 19.3° to 5.3° postoperatively. Metacarpophalangeal range of motion improved from 31.5° to 46.6°, and interphalangeal range of motion from 48.4° to 65.6°. Preoperative key pinch and grip strength were respectively 49% and 81% of contralateral values and improved to 82% and 87%. On Glickel grade, 9 cases were excellent and 7 good. Conclusion: The novel Jobe-like figure-of-eight reconstruction technique using palmaris longus graft was useful for reconstructing irreparable thumb metacarpophalangeal joint instability without an incision on the opposite side or an additional implant. Level of Evidence: Therapeutic study, level IV. (Copyright © 2024 SFCM. Published by Elsevier Masson SAS. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Figure-of-eight; Instability; Irreparable collateral ligament; Metacarpophalangeal joint; Reconstruction; Thumb |
| تواريخ الأحداث: | Date Created: 20240424 Date Completed: 20240615 Latest Revision: 20240615 |
| رمز التحديث: | 20240616 |
| DOI: | 10.1016/j.hansur.2024.101696 |
| PMID: | 38657737 |
| قاعدة البيانات: | MEDLINE |
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