Ligament reconstruction using the Fulkerson-Watson method to treat chronic isolated distal radioulnar joint instability: short-term results

Husrev Purisa; Ilker Sezer; Fatih Kabakas; Serdar Tuncer; Erden Erturer; Mehmet Yazar

Research Article

Ligament reconstruction using the Fulkerson-Watson method to treat chronic isolated distal radioulnar joint instability: short-term results

Year 2011, Volume: 45 Issue: 3, 168 - 174, 15.07.2011

Husrev Purisa Ilker Sezer Fatih Kabakas Serdar Tuncer Erden Erturer Mehmet Yazar

Abstract

Objective: Isolated distal radioulnar instability may remain unrecognized during the acute period of trauma as it is difficult to diagnose, and does not become obvious until later when it has
become chronic. We present early results in patients who underwent stabilization with extraarticular ligament reconstruction (Fulkerson-Watson reconstruction).
Methods: Four women and 1 man underwent surgery for chronic isolated distal radioulnar joint instability demonstrated in X-rays and magnetic resonance images. Arthroscopy revealed avulsion of the triangular fibrocartilage complex from the point of insertion in 3 patients, and peripheral tears in 2 patients. The peripheral tears were debrided arthroscopically. All patients had an adequate sigmoid notch and therefore underwent ligament reconstruction using the Fulkerson-Watson method. Postoperative evaluations were done with MRI.
Results: Mean follow-up was 15.5 months (range 6–26 months). Stability was achieved in all patients. The mean Quick-DASH symptom score decreased from 18.63 (15.90–22.72) to 6.81 (2.27–9.09) after surgery. A mean visual analogue score to assess pain decreased from 7.32 (6.30–8.40) to 1.88 (1.50–2.30) after surgery. Preoperative and postoperative measurements
were 26° (passive 44°) and 47° (passive 65°) for active supination, 18° (passive 45°) and 49° (passive 68°) for active pronation, 20° (passive 43°) and 42° (passive 60°) for active wrist flexion, and 38° (passive 52°) and 45° (passive 59°) for active wrist extension.
Conclusion: Surgical revision of distal radioulnar joint instability using Fulkerson-Watson reconstruction is easier than intraarticular techniques and satisfactorily re-establishes stability, provided that the sigmoid notch is adequate.

Keywords

Distal radioulnar joint, instability, ligament reconstruction, triangular fibrocartilage complex

Year 2011, Volume: 45 Issue: 3, 168 - 174, 15.07.2011

Husrev Purisa Ilker Sezer Fatih Kabakas Serdar Tuncer Erden Erturer Mehmet Yazar

Abstract

There are 0 citations in total.

Details

Primary Language	English
Subjects	Health Care Administration
Journal Section	Original Article
Authors	Husrev Purisa This is me Ilker Sezer This is me Fatih Kabakas This is me Serdar Tuncer This is me Erden Erturer This is me Mehmet Yazar This is me
Publication Date	July 15, 2011
Published in Issue	Year 2011 Volume: 45 Issue: 3

Cite

APA	Purisa, H., Sezer, I., Kabakas, F., Tuncer, S., et al. (2011). Ligament reconstruction using the Fulkerson-Watson method to treat chronic isolated distal radioulnar joint instability: short-term results. Acta Orthopaedica Et Traumatologica Turcica, 45(3), 168-174.
AMA	Purisa H, Sezer I, Kabakas F, Tuncer S, Erturer E, Yazar M. Ligament reconstruction using the Fulkerson-Watson method to treat chronic isolated distal radioulnar joint instability: short-term results. Acta Orthopaedica et Traumatologica Turcica. July 2011;45(3):168-174.
Chicago	Purisa, Husrev, Ilker Sezer, Fatih Kabakas, Serdar Tuncer, Erden Erturer, and Mehmet Yazar. “Ligament Reconstruction Using the Fulkerson-Watson Method to Treat Chronic Isolated Distal Radioulnar Joint Instability: Short-Term Results”. Acta Orthopaedica Et Traumatologica Turcica 45, no. 3 (July 2011): 168-74.
EndNote	Purisa H, Sezer I, Kabakas F, Tuncer S, Erturer E, Yazar M (July 1, 2011) Ligament reconstruction using the Fulkerson-Watson method to treat chronic isolated distal radioulnar joint instability: short-term results. Acta Orthopaedica et Traumatologica Turcica 45 3 168–174.
IEEE	H. Purisa, I. Sezer, F. Kabakas, S. Tuncer, E. Erturer, and M. Yazar, “Ligament reconstruction using the Fulkerson-Watson method to treat chronic isolated distal radioulnar joint instability: short-term results”, Acta Orthopaedica et Traumatologica Turcica, vol. 45, no. 3, pp. 168–174, 2011.
ISNAD	Purisa, Husrev et al. “Ligament Reconstruction Using the Fulkerson-Watson Method to Treat Chronic Isolated Distal Radioulnar Joint Instability: Short-Term Results”. Acta Orthopaedica et Traumatologica Turcica 45/3 (July 2011), 168-174.
JAMA	Purisa H, Sezer I, Kabakas F, Tuncer S, Erturer E, Yazar M. Ligament reconstruction using the Fulkerson-Watson method to treat chronic isolated distal radioulnar joint instability: short-term results. Acta Orthopaedica et Traumatologica Turcica. 2011;45:168–174.
MLA	Purisa, Husrev et al. “Ligament Reconstruction Using the Fulkerson-Watson Method to Treat Chronic Isolated Distal Radioulnar Joint Instability: Short-Term Results”. Acta Orthopaedica Et Traumatologica Turcica, vol. 45, no. 3, 2011, pp. 168-74.
Vancouver	Purisa H, Sezer I, Kabakas F, Tuncer S, Erturer E, Yazar M. Ligament reconstruction using the Fulkerson-Watson method to treat chronic isolated distal radioulnar joint instability: short-term results. Acta Orthopaedica et Traumatologica Turcica. 2011;45(3):168-74.