NDLI: Delayed anatomical repair of ruptured ulnar collateral ligament injuries of the thumb using a dissolvable polylactic acid bone anchor.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Pai, Sunil Smit, Adriaan Birch, Ann Hayton, Michael
Description	Country affiliation: United kingdom Author Affiliation: Pai S ( Centre for Upper Limb Surgery, Wrightington Hospital, Wigan, United Kingdom. sunilkumarpai@doctors.org.uk)
Abstract	BACKGROUND: We describe late anatomic repair of complete distal ulnar collateral ligament (UCL) avulsions of the thumb in the absence of metacarpophalangeal joint arthritis using a dissolvable polylactic acid (PLA) bone anchor in two cases, one of which had a Stener lesion. METHODS: Patients presented for surgery respectively at 5 months and 2 years after injury. Preoperative X-ray films showed subtle volar subluxation of the proximal phalanx. Volar plate release corrected this in both cases and a transarticular k-wire was not used. Satisfactory repair was achieved in both cases using a dissolvable PLA bone anchor. Flexion-extension mobilization was supervised by a hand therapist from day 1 after surgery. A low profile radial-sided thermoplastic splint to prevent reinjury of the UCL repair was used allowing interphalangeal joint and base of thumb movement, and was worn between therapy sessions for 4 weeks. RESULTS: In both patients, satisfactory UCL stability was maintained at 3-year follow-up after surgery. DISCUSSION: Dissolvable PLA bone anchors may be used to satisfactorily restore stability and function in late presenting complete distal UCL avulsions of the thumb with or without accompanying Stener lesions.
File Format	HTM / HTML
ISSN	00225282
Issue Number	6
Volume Number	65
e-ISSN	15298809
Journal	The Journal of Trauma: Injury, Infection, and Critical Care
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2008-12-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Humans Middle Aged Male Collateral Ligaments Journal Article Case Reports Postoperative Care Splints Surgery Physical Therapy Modalities Polyesters Adult Polymers Postoperative Complications Injuries Suture Anchors Lactic Acid Thumb Metacarpophalangeal Joint Discipline Traumatology Absorbable Implants Dislocations Radiography Rehabilitation Chronic Disease
Content Type	Text
Resource Type	Case study Article
Subject	Surgery Critical Care and Intensive Care Medicine

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