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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2020; 48(02): 101-108
DOI: 10.1055/s-0040-1719014
Original Article | Artículo Original

Reconstrucción percutánea del ligamento colateral ulnar de la articulación metacarpofalángica del pulgar: Técnica y resultados

Artikel in mehreren Sprachen: English | español
Juan Manuel Herrera 
1   Hand Surgery Unit, Centro Privado de Cirugía del Pie y la Mano (CEPYM), Tucumán, Argentina
2   Hand Surgery Unit, Centro Integral de Ortopedia y Traumatología (CIOT), Tucumán, Argentina
,
Lucas Herrera 
2   Hand Surgery Unit, Centro Integral de Ortopedia y Traumatología (CIOT), Tucumán, Argentina
,
Pablo Rotella 
3   Hand Surgery Unit, Instituto Rotella, Tucumán, Argentina
,
Raquel Cantero Téllez 
4   Hand Clinic, Centro Tecan, Universidad de Málaga, Málaga, Spain
,
Jimena Castellanos 
5   Occupational Therapy, Hand therapy, Tucumán, Argentina
,
Fernando Vázquez 
6   Hand Surgery Unit, Clínica Mayo, Tucumán, Argentina
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Resumen

Objetivo El objetivo de este trabajo es presentar una nueva técnica percutánea de reconstrucción del ligamento colateral ulnar de la articulación metacarpofalángica del pulgar con injerto tendinoso, y evaluar los resultados funcionales y la estabilidad a los seis meses postoperatorios.

Material y métodos Se realizó la técnica de ligamentoplastia percutánea con injerto de tendón del músculo palmaris longus y tornillos de tenodesis en 6 pacientes que presentaban inestabilidad ulnar de pulgar (> 30° de desviación radial) con más de 6 semanas de evolución. Se valoró el rango de movilidad, la fuerza de agarre (prensión), y la fuerza de pinzas (llave, palmar, y tres puntos) en comparación al miembro contralateral, así como la escala de Quick Disabilities of the Arm, Shoulder and Hand (DASH).

Resultados A los 6 meses, el movimiento articular fue del 100%, la fuerza de agarre fue del 94.8%, la pinza de llave, del 95%, la pinza palmar, del 85,7%, y la pinza 3 puntos, del 93.5% en comparación al miembro contralateral. El bostezo interno fue de 14° en comparación con 9° en el miembro contralateral. El Quick DASH disminuyó de 24.2 a 2.6 puntos.

Conclusión Ideamos este procedimiento quirúrgico versátil para obtener movilidad precoz y las ventajas que nos otorgan las técnicas percutáneas.

Palabras clave

articulación metacarpofalángica - pulgar - ligamento colateral ulnar - percutánea


Publikationsverlauf

Eingereicht: 27. Juli 2020

Angenommen: 02. September 2020

Artikel online veröffentlicht:
24. November 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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