Treatment of scapho-lunate instability.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

2. J Hand Surg Eur Vol. 2016 Jan;41(1):64-71. doi: 10.1177/1753193414563012. Epub 2014 Dec 16. An arthroscopic-assisted minimal invasive method for the reconstruction of the scapho-lunate ligament using a bone-ligament-bone graft. Dellarosa N(1), Ozben H(2), Abate M(3), Russomando A(1), Petrella G(1), Landi A(1). Author information: (1)Azienda Ospedaliero - Universitaria Policlinico di Modena, Hand Surgery and Microsurgery Unit. (2)Koc University, School of Medicine, Department of Orthopaedics and Traumatology, Istanbul, Turkey hakanozben@yahoo.com. (3)Department of Orthopaedics and Traumatology, Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Garibaldi. We report the outcomes of an arthroscopic-assisted minimally invasive technique to reconstruct the scapho-lunate ligament using a bone-ligament-bone graft in 11 patients (11 wrists). The mean follow-up time was 29 months (range 20 to 38). The preoperative mean wrist flexion, extension, grip strength and patient-rated wrist evaluation score values were 61°, 54°, 115 N and 54, respectively. The postoperative mean values were 64°, 58°, 142 N and 15, respectively. There were no statistical differences between the pre- and postoperative wrist flexion and extension, whereas changes in grip strength and patient-rated wrist evaluation score were significant. Scapho-lunate angles decreased significantly from 69° to 60°. Based on our clinical outcomes, this method provides a reliable alterative for the reconstruction of the scapho-lunate ligament in patients with persistent Geissler type 3 and 4 lesions in the short-term. LEVEL OF EVIDENCE: IV. © The Author(s) 2014. DOI: 10.1177/1753193414563012