Abstract
BackgroundEssex-Lopresti injury (ELI) is a rare injury accompanied by radioulnar dissociation with radial head (RH) fracture, interosseous membrane (IOM) rupture, and distal radioulnar joint (DRUJ) disruption. The reconstruction of IOM for the acute ELI remains controversial and challenging. Case presentationWe report an acute ELI successfully treated with RH replacement, triangular fibrocartilage complex (TFCC) repair, and IOM reconstruction using synthetic graft through the radial and ulnar bone tunnels, in a 59-year-old man. Seven years after the injury, he had no complaints of wrist pain. The radiographs revealed no evidence of hardware loosening or enlargement in the size of the bone tunnels, in spite of slight accelerated capitellar wear and osteoarthritic change in DRUJ. ConclusionThis study presents an alternative treatment for acute ELI by the combination with RH replacement, TFCC repair and IOM reconstruction using a synthetic graft. Longitudinal forearm stability may have reduced load transfer to the RH prosthesis.
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