18 Treatment of Complications after Scapholunate Ligament Repair

2022 ◽  
Keyword(s):  
Scapholunate Ligament ◽  
Ligament Repair

HERBERT SCREW FIXATION FOR THE TREATMENT OF SCAPHOLUNATE LIGAMENT RUPTURE

Hand Surgery ◽  
1998 ◽  
Vol 03 (01) ◽  
pp. 47-55 ◽  
Author(s):  
Susan L. Filan ◽  
Timothy J. Herbert
Keyword(s):  
Open Reduction ◽  
Screw Fixation ◽  
Moderate Activity ◽  
Activity Levels ◽  
Scapholunate Ligament ◽  
Ligament Repair ◽  
Wrist Motion ◽  
Bone Screw ◽  
Ligament Rupture ◽  
Full Loading

Complete rupture of the scapholunate ligament was treated by open reduction, ligament repair and internal splintage with a Herbert bone screw. After an average of 12 months, the screw was removed to allow full loading of the repair. In 33 procedures, there were 22 good and 11 poor results. In five cases with a poor outcome, the screw pulled or fractured out of the scaphoid or lunate. Grip and range of wrist motion improved in patients with a good outcome, and repair of the ligament was noted at all revision and open screw removal surgeries. A comparison of the good and poor results leads us to recommend this technique for patients with relatively recent injuries and light to moderate activity levels. Longstanding injuries and heavy occupational wrist loading led to poorer results.

Suture Tape Augmentation for Scapholunate Ligament Repair: A Biomechanical Study

2021 ◽  
Vol 46 (1) ◽  
pp. 36-42 ◽  
Author(s):  
R. Gil Thompson ◽  
Joel A. Dustin ◽  
D. Keith Roper ◽  
Steven M. Kane ◽  
Gary M. Lourie
Keyword(s):  
Biomechanical Study ◽  
Scapholunate Ligament ◽  
Ligament Repair ◽  
Suture Tape

Scapholunate Ligament Repair Using the Mitek™ Bone Anchor

2000 ◽  
Vol 25 (2) ◽  
pp. 188-192 ◽  
Author(s):  
B. BICKERT ◽  
M. SAUERBIER ◽  
G. GERMANN
Keyword(s):  
Retrospective Study ◽  
Functional Result ◽  
Functional Results ◽  
Scapholunate Ligament ◽  
Ligament Repair ◽  
Bone Anchor ◽  
Excellent Functional Result ◽  
Lunate Necrosis

A retrospective study was done to assess the outcome after repair of completely ruptured scapholunate interosseous ligaments using the Mitek™ Mini G2 bone anchor. From 1994 to 1996. 12 patients underwent scapholunate ligament repair using the bone anchor. A follow-up assessment was done at a mean of 19 months postoperatively and revealed excellent or good results in eight patients, satisfactory in two, and poor in two patients, one of whom had developed lunate necrosis. One patient with an excellent functional result demonstrated recurrent dissociation of the scapholunate gap radiographically. The technique described proved to be simpler than conventional procedures in our hands, and yields similar functional results.

scholarly journals Outcomes of Acute Versus Subacute Scapholunate Ligament Repair

2021 ◽  
Author(s):  
Raymond E. Chen ◽  
Ryan P. Calfee ◽  
Jeffrey G. Stepan ◽  
Daniel A. Osei
Keyword(s):  
Scapholunate Ligament ◽  
Ligament Repair

Long-term Outcomes of Delayed Scapholunate Ligament Repair After Complete Rupture of the Ligament

Orthopedics ◽  
2021 ◽  
Vol 44 (3) ◽  
Author(s):  
Moheb S. Moneim ◽  
Camille Aubin-Lemay ◽  
Mark S. Anderson ◽  
Deana M. Mercer
Keyword(s):  
Scapholunate Ligament ◽  
Long Term Outcomes ◽  
Ligament Repair ◽  
Complete Rupture

scholarly journals Indirect Scapholunate Ligament Repair: All Arthroscopic

2018 ◽  
Vol 7 (5) ◽  
pp. e423-e428
Author(s):  
David Bustamante Suárez de Puga ◽  
Román Cebrián Gómez ◽  
Javier Sanz-Reig ◽  
Jesús Más Martínez ◽  
Manuel Morales Santías ◽  
...  
Keyword(s):  
Scapholunate Ligament ◽  
Ligament Repair

Scapholunate Ligament Repair and Capsulodesis for the Treatment of Static Scapholunate Dissociation

1998 ◽  
Vol 23 (6) ◽  
pp. 776-780 ◽  
Author(s):  
J. D. WYRICK ◽  
B. D. YOUSE ◽  
T. R. KIEFHABER
Keyword(s):  
Grading System ◽  
Scapholunate Ligament ◽  
Scapholunate Dissociation ◽  
Ligament Repair ◽  
Wrist Motion ◽  
Normal Side ◽  
Scapholunate Instability ◽  
Clinical Grading ◽  
Radiographic Grading

Twenty-four patients were treated with scapholunate ligament repair and dorsal capsulodesis for scapholunate dissociation. Seventeen patients were available for follow-up at an average of 30 months. The average interval between injury and surgery was 3 months. At final follow-up, no patients were pain-free. Average total wrist motion was 60% and grip strength 70% of the opposite normal side. The average preoperative scapholunate angle was 78° and was corrected to a normal 47° at surgery. The average final scapholunate angle was 72°, which was not significantly different from the preoperative value. The scapholunate gap likewise was not significantly changed postoperatively. Only two patients had an excellent or good outcome using a clinical grading system, and six out of 17 scored good or excellent using a radiographic grading system. In conclusion, repair of the scapholunate ligament with dorsal capsulodesis failed to provide consistent pain relief and maintain carpal alignment in patients with static scapholunate instability.

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