title: Reconstruction of essex-lopresti injury of the forearm: technical note.
abstract: Longitudinal instability of the forearm resulting from an Essex-Lopresti injury is a surgical challenge, and no technique has yet met universal success. A new technique is presented here consisting of reconstruction of the radial head, leveling of the distal radioulnar joint, reconstruction of the central band of the interosseous membrane by using a pronator teres rerouting technique, and finally repair of the triangular fibrocartilage complex. It is hoped that by addressing all of the contributing longitudinal stabilizing structures, the longitudinal instability of the forearm will be controlled. The technique is challenging and requires much surgical experience.
authors.affiliation: Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA. gchlorosdoc@gmail.com
authors.forename: George D
authors.initials: GD
authors.lastname: Chloros
authors.forename: Ethan R
authors.initials: ER
authors.lastname: Wiesler
authors.forename: Kathryne J
authors.initials: KJ
authors.lastname: Stabile
authors.forename: Anastasios
authors.initials: A
authors.lastname: Papadonikolakis
authors.forename: David S
authors.initials: DS
authors.lastname: Ruch
authors.forename: Gary R
authors.initials: GR
authors.lastname: Kuzma
mesh_terms: D005542:Forearm; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods*; D011885:Radius Fractures / Q000150:complications / Q000601:surgery*; D051478:Triangular Fibrocartilage / Q000293:injuries* / Q000601:surgery*; D014955:Wrist Joint