Abstract
Interosseous membrane (IOM) deficiency results in longitudinal radioulnar instability, and may result in proximal radial migration, increased radiocapitellar contact, limitations in forearm rotation, ulnocarpal instability, and ulna-sided pain. A number of reconstruction methods have been posited-however, few have been implemented in vivo. We describe a 2-bundle method of IOM reconstruction, utilizing flexor digitorum superficialis autograft. This technique has the benefits of utilizing a locally available and robust autograft with minimal donor-site morbidity, obviating the concerns associated with synthetic grafts or bone-patella tendon-bone constructs. It also replicates the nonisometric nature of the native IOM. We also present long-term results of a patient who underwent IOM reconstruction utilizing this method, following a cadaveric feasibility study.
References
Mar 1, 1989·The Journal of Hand Surgery·R N HotchkissA J Weiland
May 1, 1994·The Journal of Hand Surgery·R S RabinowitzL Vrbos
Jun 1, 1996·American Journal of Industrial Medicine·P L HudakC Bombardier
Feb 21, 1998·The Journal of Hand Surgery·D P BirkbeckM Schaffler
Feb 21, 1998·The Journal of Hand Surgery·J R SkahenM D Fortino
Jun 18, 1999·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·T NakamuraY Horiuchi
Aug 24, 2001·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·M F ShepardA M Dunbar
Mar 27, 2004·The Journal of Hand Surgery·Mary T GabrielKenneth J Fischer
Mar 23, 2005·The Journal of Hand Surgery·H James PfaeffleMatthew M Tomaino
Mar 23, 2005·The Journal of Hand Surgery·Samir G TejwaniProsper Benhaim
Feb 14, 2006·Surgical and Radiologic Anatomy : SRA·M SoubeyrandR Degeorges
Jun 6, 2007·Hand Clinics·Anthony L Marcotte, A Lee Osterman
Feb 27, 2008·Hand Clinics·Seth D DoddsJoseph F Slade
Feb 13, 2009·The Journal of Hand Surgery·Kazuo NodaHisao Moritomo
Feb 2, 2010·The Journal of Hand Surgery·Julie E AdamsA Lee Osterman
May 11, 2010·The Journal of Hand Surgery·Hyun Sik GongGoo Hyun Baek
Jul 1, 1946·The British Journal of Surgery·J F CURR, W A COE
Nov 26, 2010·Techniques in Hand & Upper Extremity Surgery·Julie E AdamsA Lee Osterman
Nov 20, 2012·Techniques in Hand & Upper Extremity Surgery·Marlis T Sabo, Adam C Watts