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A-0599 Clincal results of a SL-reconstruction through a dorsal approach creating a 3 ligament tenodesis with ECRB; 5-years followup
Simon Oeckenpöhler, Britta Wieskötter, Thorben Royeck, Martin Franz Langer, University Hospital Mu?nster, Department of Trauma-, Hand- and Reconstructive Surgery, Germany
Thursday, June 14, 2018 · 4:01 p.m. · 07m 20s
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good afternoon isn't that the man is a pleasure to be here and to share our
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results of the five years and luckily we had this talk in the beginning about
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the e. c. r. l. o. u. c. r. b. and what we prefer it and
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i'm gonna show you now how this is developing in how the operation itself
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ah well we're performing um looks like so this so you will um view of the
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yeah wrist and in the case is the patient come to us it's not only to
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one it's just a a da it and we have this ongoing slack wrist situation
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and the situation we're performing and results from that also aspect of the i can
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afford the sky for you and here we go to a little bit more
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this we aspect of uh um on a side of this guy for its yeah and to
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lift it up a little bit more and if we get those towels over there we take a second channel
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to the top of this case for each to pull it out from the palm aspect of the rest
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and afterwards we go to the loo made and then put a pin in place to put it back in place
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and perform another time a little bit more proximal easy to lift up the loon it in its original position
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and through these towels we just um process train of the easy r. l. uh easier be
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ten and ensure that through all of those bones and when you zap shot although those
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you just put site and and the whole situation go to get back to how it's belongs and how it should be
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and they haven't done that we just perform a kind of a dorsal into couple the comment
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uh_huh strand thing with uh the document we already have yeah
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for the this is how we do it and these are the inclusion the criteria for patients
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we always had uh s. l. distance larger than five millimetres and as i know
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ours and seventy degrees and a primer e. s. l. teacher was impossible so
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many of those patients referred rose very late so they had ongoing spectra state one or even some of them stage to
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we did the operator of treatment in between the last ten years and
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seventy four page and then last fall over thirty six so we
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have allies in this study a it thirty eight patients read about them in the mean followed was five four years and tenants
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the what what did we get about we get an an r. and r. s. from zero to ten with an unloaded with
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about one point six and if they have load on it it's about four point two we
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have a flex extension deficit about twenty percent compared to the on air uninjured side
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and we have a grips grip strength on the yeah my denominator about twelve
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percent less than the another uninjured side so it's a very good
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functional recovery after those five years the scores were even good as well
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so the desk what what about twenty one the grimace core about eight in the my risk about for a seventy six
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so and all operations very satisfied after the procedure if you compare
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these proceeded to other studies are are the other procedures
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we concluded this modify feel teaching these is that i just showed you
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should we consider reasonable option even relatively elderly patients even with that on an going developing slack
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gonna questions unhappy johnson thanks how the high one question you have
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a a big followup or tissue is because you have five
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use the uh of mean for up and uh you we have assumed
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of uh in the start of this a shooting the this paper
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uh on the uh specific vector uh between arrives yeah i'm uh is europe
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uh what is the reason of the first choice to prefer that is a
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a technique to the uh f.'s your uh first uh a presentation
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there were two things to consider you just have one sided approach from dover spec
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you don't have to go to the palm aspect of wrist at all
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and the second thing is that if you go and and pull out the skate
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foot in the door and ends display aspect down with this this year attendance
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fairly easy to do that in compared to the a. f. c. r. that didn't make so much sense to ours
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i
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another question
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yes
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it's a technical question really you said you can do even people have got quite so often
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what what you'll get a chance if you play about the dorsal channel and you've
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got a big hole inescapably 'cause they we had one really easy to happen
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we had that one time we put yeah be put an anchor in that but in the end
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the patient came back i think one year after surgery around about and he was um
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yeah what didn't work out l. so we headed it was said central caesar for this guy
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and you approach to on this uh also uh uh
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approaches a a a gun serious approach for us
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other question
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i normally i would do rule the knee ligament reconstruction with these like one wished to
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we didn't do that and the results showed us that we're where you're right doing this so everyone just for them and yeah
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okay and what is the importance of this select put uh
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this uh uh indication a offer conservative a tree
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are up you see in the hands of a euro uh obstruct
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and uh uh you a presentation that uh uh you uh
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uh puts the these implication uh in the uh
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it's the it's the stock diverting struck here uh
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uh we we performed that let's say in the first place is just to have a look at it
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might work and the results show that it works for them and i mean you don't lose anything
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the uh the last remotes lectures maybe a four corner whatever you prefer to do that if you try to do an a little
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under construction and the people happy with it and i got a good functional come i think we should go with that
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it's only a or a for the old patient or for a when patients will as well okay
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next present thank you very much that doesn't sorry question also technical point because it
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you have it come out in the door some of the people from the blue bag with with uh with uh with this
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chandler isn't it getting problem you based extension s. for g. s. t. and have you conceded
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do we get taller all away uh all the for the track we drum interferes there
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and we didn't do that to to date 'cause we didn't have those bigger problems or issues with it right you're right that
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you could consider consider doing that in pure into the fact what you eat what we had yesterday in this room about
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that often the couple document going through the um an interpreter as well right
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A-0599 Clincal results of a SL-reconstruction through a dorsal approach creating a 3 ligament tenodesis with ECRB; 5-years followup
Simon Oeckenpöhler, Britta Wieskötter, Thorben Royeck, Martin Franz Langer, University Hospital Mu?nster, Department of Trauma-, Hand- and Reconstructive Surgery, Germany
June 14, 2018 · 4:01 p.m.
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