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European Journal of Orthopaedic Surgery & Traumatology

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01-04-2018 | Original Article • ELBOW - FRACTURES

Single- versus double-bundle suture button reconstruction of the forearm interosseous membrane for the chronic Essex-Lopresti lesion

Authors: Michael P. Gaspar, Kenneth A. Kearns, Randall W. Culp, A. Lee Osterman, Patrick M. Kane

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 3/2018

Abstract

Purpose

Reconstruction of the ruptured interosseous membrane (IOM) is critical to restore forearm stability for the chronic Essex-Lopresti injury. Positive outcomes have been reported following IOM reconstruction with a single-bundle suture button (Mini-Tightrope) construct, although recent work suggests that double-bundle Mini-TightRope^® IOM reconstruction is biomechanically superior. The purpose of this study was to determine whether double-bundle Mini-TightRope^® reconstruction of the forearm IOM results in superior clinical outcomes to the single-bundle technique.

Methods

Five patients with chronic Essex-Lopresti injuries treated with double-bundle Mini-TightRope^® IOM reconstruction were matched to five patients treated with single-bundle Mini-TightRope^® reconstruction. Improvement in clinical examination measures and patient-reported outcomes was compared between the groups.

Results

Results were good to excellent in all 10 patients. At final follow-up, forearm rotation was significantly better in the single-bundle group, while maintenance of ulnar variance was better in the double-bundle group. No significant differences were noted between the two groups for any other numerical outcomes, and no complications occurred.

Conclusion

These findings suggest that while IOM reconstruction with a double-bundle Mini-TightRope^® construct results in greater resistance to proximal migration of the radius in the intermediate term, there is a modest concomitant loss of forearm rotation when compared to single-bundle reconstruction.

Level of evidence

Therapeutic Level IV.

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Title: Single- versus double-bundle suture button reconstruction of the forearm interosseous membrane for the chronic Essex-Lopresti lesion
Authors: Michael P. Gaspar
Kenneth A. Kearns
Randall W. Culp
A. Lee Osterman
Patrick M. Kane
Publication date: 01-04-2018
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 3/2018
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-017-2051-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Single- versus double-bundle suture button reconstruction of the forearm interosseous membrane for the chronic Essex-Lopresti lesion

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

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