Missed Essex-Lopresti Injury—Development of a Combined Proximal and Distal Radio-Ulnar Joint Prosthesis as a Treatment Option and Proof of Concept
Essex-Lopresti injuries are characterized by injuries to the proximal radio-ulnar joint, the distal radio-ulnar joint, and the interosseous membrane. This can lead to osteoarthritis, impaction syndrome, or instability. If all three structures are injured and lead to instability, the situation is alm...
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FB/Einrichtung: | FB 05: Medizinische Fakultät |
Dokumenttypen: | Artikel |
Medientypen: | Text |
Erscheinungsdatum: | 2023 |
Publikation in MIAMI: | 19.01.2024 |
Datum der letzten Änderung: | 19.01.2024 |
Angaben zur Ausgabe: | [Electronic ed.] |
Quelle: | Healthcare 11 (2023) 16, 2274, 1-9 |
Schlagwörter: | Essex-Lopresti; DRUJ prosthesis; PRUJ prosthesis; interosseous membrane; salvage procedure; radial head fracture; radial head resection; complication; one bone forearm |
Fachgebiet (DDC): | 610: Medizin und Gesundheit |
Lizenz: | CC BY 4.0 |
Sprache: | English |
Förderung: | Finanziert durch den Open-Access-Publikationsfonds der Universität Münster. |
Format: | PDF-Dokument |
URN: | urn:nbn:de:hbz:6-57988511572 |
Weitere Identifikatoren: | DOI: 10.17879/77988638826 |
Permalink: | https://nbn-resolving.de/urn:nbn:de:hbz:6-57988511572 |
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Onlinezugriff: | 10.3390_healthcare11162274.pdf |
Essex-Lopresti injuries are characterized by injuries to the proximal radio-ulnar joint, the distal radio-ulnar joint, and the interosseous membrane. This can lead to osteoarthritis, impaction syndrome, or instability. If all three structures are injured and lead to instability, the situation is almost unmanageable and many times ends in a one-bone forearm. In this article, we demonstrate a new way to reconstruct the proximal and distal radio-ulnar joint with two patient-specific coupled prostheses. These have been developed with the biomechanical conditions of the forearm in mind, where there are very large forces between the bones. As a result, we are able to present a patient previously severely restricted in the use of his hand and arm via a splint that compressed the forearm, who is now able to perform everyday activities and even light sports, such as badminton, without pain.