{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:36:19Z","timestamp":1787754979592,"version":"build-2784847793"},"reference-count":38,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery"],"published-print":{"date-parts":[[2018,3,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The purpose of this study was to report our long-term outcomes following reconstruction of the forearm interosseous membrane (IOM) with bone-patellar tendon-bone (BPTB) graft for treatment of chronic Essex-Lopresti injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We identified 33 patients who underwent IOM reconstruction with BPTB graft for chronic Essex-Lopresti injuries over a 20-year treatment interval. Twenty male and 13 female patients, with a mean age of 42.1 years (range, 19 to 73 years) and a minimum follow-up interval of 5 years, were included. Preinjury clinical examination and radiographic measurements were obtained from records for comparison with prospectively collected data. Additional functional outcome data collected postoperatively included QuickDASH (an abbreviated version of the Disabilities of the Arm, Shoulder and Hand [DASH]), modified Mayo wrist (MMW), and Broberg-Morrey elbow function scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>IOM reconstruction was performed at a mean interval (and standard deviation) of 44.9 \u00b1 60.0 months (range, 6.4 to 208 months) from the time of the initial injury. At a mean follow-up of 10.9 \u00b1 4.4 years (range, 5.5 to 24.2 years), significant improvements were observed in mean elbow flexion-extension arc (+13\u00b0 [95% confidence interval (CI), 4\u00b0 to 22\u00b0]; p = 0.005), wrist flexion-extension arc (+19\u00b0 [95% CI, 4\u00b0 to 34\u00b0]; p = 0.016), forearm pronation-supination (+23\u00b0 [95% CI, 8\u00b0 to 39\u00b0]; p = 0.004), and grip strength (+25% of that of the contralateral side [95% CI, 18% to 32% of contralateral side]; p &lt; 0.001). Improvements in ulnar variance were sustained over the long term from +3.9 mm (95% CI, 3.2 to 4.6 mm) preoperatively to \u22121.6 mm (95% CI, \u22122.3 to \u22120.9 mm) immediately postoperatively and \u22121.1 mm (95% CI, \u22121.8 to \u22120.4 mm) at the time of the final follow-up (p &lt; 0.001). The mean QuickDASH, MMW, and Broberg-Morrey scores were 29.8 (range, 5 to 61), 82.7 (range, 60 to 100), and 91.6 (range, 64 to 100), respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>IOM reconstruction with a BPTB graft is an effective treatment option for chronic Essex-Lopresti injuries, with satisfactory clinical and functional outcomes over the long term.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      Therapeutic\n                      <jats:underline>Level IV<\/jats:underline>\n                      . See Instructions for Authors for a complete description of levels of evidence.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.17.00820","type":"journal-article","created":{"date-parts":[[2018,3,7]],"date-time":"2018-03-07T16:48:40Z","timestamp":1520441320000},"page":"416-427","source":"Crossref","is-referenced-by-count":20,"title":["Late Reconstruction of the Interosseous Membrane with Bone-Patellar Tendon-Bone Graft for Chronic Essex-Lopresti Injuries"],"prefix":"10.2106","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4516-2348","authenticated-orcid":false,"given":"Michael P.","family":"Gaspar","sequence":"first","affiliation":[{"name":"Philadelphia Hand to Shoulder Center, Department of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania"},{"name":"Darden School of Business, University of Virginia, Charlottesville, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie E.","family":"Adams","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic Health System, Austin, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph C.","family":"Zohn","sequence":"additional","affiliation":[{"name":"Philadelphia Hand to Shoulder Center, Department of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sidney M.","family":"Jacoby","sequence":"additional","affiliation":[{"name":"Philadelphia Hand to Shoulder Center, Department of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randall W.","family":"Culp","sequence":"additional","affiliation":[{"name":"Philadelphia Hand to Shoulder Center, Department of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. Lee","family":"Osterman","sequence":"additional","affiliation":[{"name":"Philadelphia Hand to Shoulder Center, Department of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick M.","family":"Kane","sequence":"additional","affiliation":[{"name":"Philadelphia Hand to Shoulder Center, Department of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"2","key":"bib1-20230810","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":"33","author":"Essex-Lopresti","year":"1951","journal-title":"J Bone Joint Surg Br."},{"issue":"1","key":"bib2-20230810","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.jhsa.2009.10.007","article-title":"Interosseous membrane reconstruction for the Essex-Lopresti injury","volume":"35","author":"Adams","year":"2010","journal-title":"J Hand Surg Am."},{"issue":"7","key":"bib3-20230810","first-page":"904","article-title":"2 cases of disability at the wrist joint following excision of the head of the radius","volume":"24","author":"Brockman","year":"1931","journal-title":"Proc R Soc Med."},{"issue":"133","key":"bib4-20230810","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."},{"issue":"2","key":"bib5-20230810","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/J.JHSB.2005.10.009","article-title":"The Essex-Lopresti lesion: a variant with a bony distal radioulnar joint injury","volume":"31","author":"Auyeung","year":"2006","journal-title":"J Hand Surg Br."},{"issue":"4","key":"bib6-20230810","doi-asserted-by":"crossref","first-page":"950","DOI":"10.2106\/JBJS.H.00269","article-title":"Monteggia fracture-dislocation associated with proximal and distal radioulnar joint instability. 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