Anatomic ligament reconstruction using Scheker technique for treatment of DRUJ instability
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Abstract:
Objective To evaluate the short and mid term curative effect of Scheker procedure to anatomically reconstruct distal radio-ulnar ligament in the treatment of distal radio-ulnar joint (DRUJ) instability.Methods From March 2007 to May 2011,15 consecutive patients with DRUJ instability including 11 males and4 females with an average age of 29 years (range,18 to 55 years) were treated with Scheker procedure.There were 12 cases of chronic instability and 3 cases of acute instability.Anatomic reconstruction of the distal radio-ulnar ligament was done using autologous or allogeneic tendon graft.All of them began their active forearm rotation exercises 6 weeks after the surgery.Results All patients were follow-up for 9 to 21 months,with an average of 15 months.Stability of the DRUJ was restored in all of them.The postoperative range of forearm rotation was (60.82 ± 5.13) ° in pronation and (72.70 ± 3.52) ° in supination.Except for the mild wrist pain in 2 cases,all were symptom free.Grip strength increased significantly.Activities of daily living and working requirements were satisfied.Conclusion Scheker procedure for anatomic ligament reconstruction is an effective treatment for DRUJ instability and is worthy of being widely applied clinically.
Key words:
Carpal joints; Joint instability; Tendon graftKeywords:
Druj
Wrist pain