{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T10:42:01Z","timestamp":1693564921323},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:p>Restoration of longitudinal stability of the forearm continues to pose a difficult challenge for the hand surgeon, and no technique has demonstrated success above others. Longitudinal stability to the forearm is conferred by 3 structures: the radial head, which acts as a primary stabilizer, the interosseous membrane, more specifically, the central band and, the distal radioulnar ligaments which are part of the triangular fibrocartilage complex. A combination of techniques is described in this article to address chronic longitudinal instability of the forearm: (1) ulnar shortening osteotomy to restore ulnar variance, (2) pronator teres transfer was used to reconstruct the central band of the interosseous membrane, and (3) tightrope augmentation was used to prevent elongation during the healing process.<\/jats:p>","DOI":"10.1097\/bth.0000000000000200","type":"journal-article","created":{"date-parts":[[2018,7,4]],"date-time":"2018-07-04T15:25:40Z","timestamp":1530717940000},"page":"99-103","source":"Crossref","is-referenced-by-count":1,"title":["Chronic Longitudinal Instability of the Forearm Treated With a Combination of Ulnar Shortening Osteotomy, Pronator Teres Transfer, and Tightrope Technique"],"prefix":"10.1097","volume":"22","author":[{"given":"Fiesky A.","family":"Nunez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter J.","family":"Evans","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230901","first-page":"47","article-title":"Reconstruction of longitudinal stability of the forearm after disruption of interosseous ligament and radial head excision (Essex-Lopresti lesion)","volume":"8","author":"Ruch","year":"1999","journal-title":"J South Orthop Assoc"},{"key":"R2-20230901","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.1016\/j.jse.2016.04.018","article-title":"Interosseous membrane reconstruction with a suture-button construct for treatment of chronic forearm instability","volume":"25","author":"Gaspar","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"key":"R3-20230901","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.1016\/j.jhsa.2010.07.020","article-title":"Suture-button construct for interosseous ligament reconstruction in longitudinal radioulnar dissociations: a biomechanical study","volume":"35","author":"Kam","year":"2010","journal-title":"J Hand Surg Am"},{"key":"R4-20230901","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1097\/BTH.0b013e3181e2457d","article-title":"Interosseous membrane reconstruction for forearm longitudinal instability","volume":"14","author":"Adams","year":"2010","journal-title":"Tech Hand Up Extrem Surg"},{"key":"R5-20230901","doi-asserted-by":"crossref","first-page":"250","DOI":"10.2106\/00004623-198870020-00014","article-title":"Force transmission through the radial head","volume":"70","author":"Morrey","year":"1988","journal-title":"J Bone Joint Surg Am"},{"key":"R6-20230901","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.jhsa.2007.09.008","article-title":"Reconstruction of Essex-Lopresti injury of the forearm: technical note","volume":"33","author":"Chloros","year":"2008","journal-title":"J Hand Surg Am"},{"key":"R7-20230901","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1016\/S0736-0266(00)00059-0","article-title":"The effects of partial and total interosseous membrane transection on load sharing in the cadaver forearm","volume":"19","author":"Shepard","year":"2001","journal-title":"J Orthop Res"},{"key":"R8-20230901","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/0363-5023(89)90017-8","article-title":"An anatomic and mechanical study of the interosseous membrane of the forearm: pathomechanics of proximal migration of the radius","volume":"14","author":"Hotchkiss","year":"1989","journal-title":"J Hand Surg Am"},{"key":"R9-20230901","doi-asserted-by":"crossref","first-page":"92","DOI":"10.2106\/00004623-200101000-00013","article-title":"Effects of radial head excision and distal radial shortening on load-sharing in cadaver forearms","volume":"83-A","author":"Shepard","year":"2001","journal-title":"J Bone Joint Surg Am"},{"key":"R10-20230901","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1002\/bjs.18003413312","article-title":"Dislocation of the inferior radio-ulnar joint","volume":"34","author":"Curr","year":"1946","journal-title":"Br J Surg"},{"key":"R11-20230901","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1302\/0301-620X.33B2.244","article-title":"Fractures of the radial head with distal radio-ulnar dislocation; report of two cases","volume":"33B","author":"Essex-Lopresti","year":"1951","journal-title":"J Bone Joint Surg Br"},{"key":"R12-20230901","doi-asserted-by":"crossref","first-page":"1486","DOI":"10.2106\/00004623-199274100-00007","article-title":"Radio-ulnar dissociation. 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