Tendon Interposition and Ligament Reconstruction with ECRL Tendon in the Late Stages of Kienböck’s Disease: A Cadaver Study
Background. The optimal surgical treatment for Kienböck’s disease with stages IIIB and IV remains controversial. A cadaver study was carried out to evaluate the use of coiled extensor carpi radialis longus tendon for tendon interposition and a strip obtained from the same tendon for ligament reconst...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2013/416246 |
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| author | Nazım Karalezli Aysun Uz Ali Fırat Esmer Mehmet Demirtaş Arzu Gül Taşcı Harun Kütahya Gürhan Ulusoy |
| author_facet | Nazım Karalezli Aysun Uz Ali Fırat Esmer Mehmet Demirtaş Arzu Gül Taşcı Harun Kütahya Gürhan Ulusoy |
| author_sort | Nazım Karalezli |
| collection | DOAJ |
| description | Background. The optimal surgical treatment for Kienböck’s disease with stages IIIB and IV remains controversial. A cadaver study was carried out to evaluate the use of coiled extensor carpi radialis longus tendon for tendon interposition and a strip obtained from the same tendon for ligament reconstruction in the late stages of Kienböck’s disease. Methods. Coiled extensor carpi radialis longus tendon was used to fill the cavity of the excised lunate, and a strip obtained from this tendon was sutured onto itself after passing through the scaphoid and the triquetrum acting as a ligament to preserve proximal row integrity. Biomechanical tests were carried out in order to evaluate this new ligamentous reconstruction. Results. It was biomechanically confirmed that the procedure was effective against axial compression and distributed the upcoming mechanical stress to the distal row. Conclusion. Extensor carpi radialis longus tendon has not been used for tendon interposition and ligament reconstruction in the treatment of this disease before. In view of the biomechanical data, the procedure seems to be effective for the stabilization of scaphoid and carpal bones. |
| format | Article |
| id | doaj-art-d585686a00c0413eb79b9eaaa720d0bb |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-d585686a00c0413eb79b9eaaa720d0bb2025-02-03T01:23:45ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/416246416246Tendon Interposition and Ligament Reconstruction with ECRL Tendon in the Late Stages of Kienböck’s Disease: A Cadaver StudyNazım Karalezli0Aysun Uz1Ali Fırat Esmer2Mehmet Demirtaş3Arzu Gül Taşcı4Harun Kütahya5Gürhan Ulusoy6Department of Orthopaedics and Traumatology, Meram School of Medicine, Necmettin Erbakan University, Konya, TurkeyDepartment of Anatomy, School of Medicine, Ankara University, Ankara, TurkeyDepartment of Anatomy, School of Medicine, Ankara University, Ankara, TurkeyDepartment of Orthopaedics and Traumatology, School of Medicine, Ankara University, Ankara, TurkeyDepartment of Engineering Sciences, Experimental Mechanics and Biomechanics Laboratory, Middle East Technical University, Ankara, TurkeyDepartment of Orthopaedics and Traumatology, Meram School of Medicine, Necmettin Erbakan University, Konya, TurkeyDepartment of Plastic and Reconstructive Surgery, Ankara Training and Research Hospital, Ankara, TurkeyBackground. The optimal surgical treatment for Kienböck’s disease with stages IIIB and IV remains controversial. A cadaver study was carried out to evaluate the use of coiled extensor carpi radialis longus tendon for tendon interposition and a strip obtained from the same tendon for ligament reconstruction in the late stages of Kienböck’s disease. Methods. Coiled extensor carpi radialis longus tendon was used to fill the cavity of the excised lunate, and a strip obtained from this tendon was sutured onto itself after passing through the scaphoid and the triquetrum acting as a ligament to preserve proximal row integrity. Biomechanical tests were carried out in order to evaluate this new ligamentous reconstruction. Results. It was biomechanically confirmed that the procedure was effective against axial compression and distributed the upcoming mechanical stress to the distal row. Conclusion. Extensor carpi radialis longus tendon has not been used for tendon interposition and ligament reconstruction in the treatment of this disease before. In view of the biomechanical data, the procedure seems to be effective for the stabilization of scaphoid and carpal bones.http://dx.doi.org/10.1155/2013/416246 |
| spellingShingle | Nazım Karalezli Aysun Uz Ali Fırat Esmer Mehmet Demirtaş Arzu Gül Taşcı Harun Kütahya Gürhan Ulusoy Tendon Interposition and Ligament Reconstruction with ECRL Tendon in the Late Stages of Kienböck’s Disease: A Cadaver Study The Scientific World Journal |
| title | Tendon Interposition and Ligament Reconstruction with ECRL Tendon in the Late Stages of Kienböck’s Disease: A Cadaver Study |
| title_full | Tendon Interposition and Ligament Reconstruction with ECRL Tendon in the Late Stages of Kienböck’s Disease: A Cadaver Study |
| title_fullStr | Tendon Interposition and Ligament Reconstruction with ECRL Tendon in the Late Stages of Kienböck’s Disease: A Cadaver Study |
| title_full_unstemmed | Tendon Interposition and Ligament Reconstruction with ECRL Tendon in the Late Stages of Kienböck’s Disease: A Cadaver Study |
| title_short | Tendon Interposition and Ligament Reconstruction with ECRL Tendon in the Late Stages of Kienböck’s Disease: A Cadaver Study |
| title_sort | tendon interposition and ligament reconstruction with ecrl tendon in the late stages of kienbock s disease a cadaver study |
| url | http://dx.doi.org/10.1155/2013/416246 |
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