CC BY-NC-ND 4.0 · Rev Iberoam Cir Mano 2018; 46(01): 052-059
DOI: 10.1055/s-0038-1651505
Surgical Technique | Técnicas Quirúrgica
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Dynamic Distal Radioulnar Stabilization for Treatment of Triangular Fibrocartilage Complex Rupture Associated to Distal Radius Fracture – A New Surgical Technique

Article in several languages: español | English
Samuel Pajares Cabanillas
1  Responsable de la Unidad de Muñeca y Mano, Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Fundación Jimenez Díaz, Madrid, España
,
Natalia Martínez Catalán
2  Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Fundación Jimenez Díaz, Madrid, España
,
Emilio Calvo Crespo
3  Jefe del Departamento de Cirugía Ortopédica y Traumatología, Hospital Universitario Fundación Jiménez Díaz, Hospital Universitario Infanta Elena, Valdemoro, Hospital General de Villalba, Universidad Autónoma Servicio Cirugía Ortopédica y Traumatología, Madrid, España
› Author Affiliations
Further Information

Publication History

08 February 2018

27 March 2018

Publication Date:
21 May 2018 (eFirst)

Abstract

Distal radioulnar instability secondary to rupture of the triangular fibrocartilage complex (FCT) produced in fractures of the distal radius is one of the most difficult complications to treat in our specialty. Early functional recovery of postoperative radius fracture requires early mobilization and consequently it can result in a poor FCT healing. On the other hand, the correct treatment of this rupture, regardless of the treatment performed (conservative, open or arthroscopic repair), requires an immobilization of the wrist and elbow for a period of not less than 6–8 weeks. This fact may compromise the functional result of both the radius surgery and the radioulnar movement. We describe the first surgical technique in the literature that allows a correct healing of the FCT, at the same time that mobilization wrist begins in the first week of the postoperative period, both the radiocarpal and distal radioulnar joint. It is a surgery to be performed immediately after radio synthesis procedure. It is a simple technique and low morbidity, which stabilizes the distal radioulnar joint in a dynamic way, so that the direction of rotation where the instability is reproduced is restricted, stabilizing dorsopalmar translation movement and joint opening.