Mid-Term Results of the Use of a Suture Anchor Fixation for Chronic Reducible Scapholunate Dissociation

2019 ◽  
Vol 24 (04) ◽  
pp. 440-446
Author(s):  
Reza Shahryar Kamrani ◽  
Behnam PanjaviLee ◽  
Ehsan Vahedi
Keyword(s):  
Grip Strength ◽  
Suture Anchor ◽  
Dash Score ◽  
Scapholunate Dissociation ◽  
Tissue Manipulation ◽  
Quick Dash ◽  
Suture Anchor Fixation ◽  
Anchor Fixation ◽  
Mid Term Results

Background: Scapholunate dissociation (SLD) is a common and sometimes disabling ligamentous injury of the wrist. The aim of the treatment is to restore carpal alignment and to prevent joint degeneration. In the current study, we reported mid-term results of our technique using suture anchor fixation within the SL interface. Methods: Nine male patients with an average age of 35 years underwent scapholunate suture anchor fixation (SLAF) for chronic and symptomatic dynamic or reducible static SLD from 2011 to 2016 with a mean follow-up of 36 months. After dorsal wrist exposure, a 2.8 mm suture anchor was inserted in the dorsoproximal lateral articular surface of the lunate bone. The two ends of the sutures were passed through the two divergent canals in the scaphoid. The sutures were tied over the tuberosity after reducing the SL alignment. Two K-wires supported SL and scaphocapitate (SC) alignment for 8 weeks. Radiographic parameters, wrist range of motion and grip strength were measured. Quick-DASH and Modified Mayo Wrist Score (MMWS) were used to assess the functional outcome. Results: The grip strength and passive motion reached to 75% and 88% of the other side, respectively. The SL gap was 5.4 mm, 2.6 mm and 3.4 mm before surgery, after pin removal, and on the follow-up stress radiographs, respectively. The SL angle was 82, 52 and 65 degrees at any time point, respectively. Average Quick-DASH score was improved from 60 to 25. According to MMWS score, one patient was excellent, one was good, five were fair, and two were poor. Conclusions: SLAF is a simple technique with minimal soft tissue manipulation that enables correction and maintaining of the carpal alignment with favorable mid-term results.

scholarly journals Double-crossed knotless suture anchor repair of quadriceps rupture

2021 ◽  
Author(s):  
Waqas Ali ◽  
Javaid Iqbal ◽  
Liam Leonard ◽  
Paul O'Grady
Keyword(s):  
Tendon Rupture ◽  
Suture Anchor ◽  
Quadriceps Tendon ◽  
Quadriceps Tendon Rupture ◽  
Effective Treatment Option ◽  
The Mean ◽  
Suture Anchor Fixation ◽  
Anchor Fixation ◽  
Suture Anchor Repair

Abstract Quadriceps tendon rupture is an uncommon injury but may result in long term disability if not adequately repaired. Many techniques are described for repair of acute quadriceps tendon rupture, including tendon-to-tendon repair, trans-osseous tunnels, synthetic augmentation, tendon plasty and the use of suture anchors. There is no single accepted surgical treatment. This study's objective was to assess the efficacy of a double-crossed suture anchor repair in the management of quadriceps tendon rupture. Materials and methods: 85 patient attended our institute for surgical management of quadriceps tendon rupture over eight years (2012-2019). Seven patients were treated with the use of a double-crossed suture anchor fixation. These patients were allowed to weight bear in a hinged knee brace for six weeks following surgery. Six out of seven patients had one or more predisposing co-morbidities, including obesity, diabetes, renal failure, quinolone and steroid use. Results: Clinical and functional outcome were recorded during follow up visits prospectively for a mean of one year (10-14 months). The mean knee flexion was 124 degree (120 -130). All patients were able to return to activities of daily living (ADL) with a mean of 2 months (1.5-3 months) and return to work at a mean of 6 months (4-8 months). The mean Tegner, Cincinnati and Lysholm score at the latest follow up were 2.8 (0-5), 79.2 (60-88) and 90 (70-100), respectively. There were no early complications. There was no re-tear reported at the latest follow up. Conclusion : The double-crossed suture anchor fixation is a safe and effective treatment option in managing quadriceps tendon ruptures.

scholarly journals Ligament Reconstruction of Traumatic Pure Dislocation of Carpometacarpal Joint of the Thumb: A Series of Acute and Chronic Cases

2020 ◽  
Vol 12 (S 01) ◽  
pp. S16-S20
Author(s):  
Farid Najd Mazhar ◽  
Davod Jafari ◽  
Seyed Sajjad Jafari ◽  
Alireza Mirzaei
Keyword(s):  
Grip Strength ◽  
Outcome Measures ◽  
Ligament Reconstruction ◽  
Reconstruction Technique ◽  
Reconstruction Method ◽  
Dash Score ◽  
The Mean ◽  
Quick Dash ◽  
Cmc Joint

Abstract Background Traumatic instability of carpometacarpal (CMC) joint of the thumb without a fracture (pure dislocation of CMC joint) is an uncommon injury, and a universally accepted protocol has not yet been developed for its management. Here, we aim to evaluate the outcome of this injury managed with ligament reconstruction technique, in a series of acute and chronic injuries. Patients and Methods Total nine patients (six acute and three chronic) with pure dislocation of CMC joint who underwent ligament reconstruction surgery were included in this retrospective study. Outcome measures included disabilities of the arm, shoulder, and hand (quick-DASH) questionnaire; visual analog scale (VAS) scoring system; patient-rated wrist/hand evaluation (PRWHE) system; pinch and grip strength; and Kapandji thumb opposition scores. Results The patients’ mean age was 32.55 ± 11.4 years. Their mean follow-up period was 27 ± 12.8 months. The mean postoperative pinch and grip strength was equivalent to 91.5% and 108% of the contralateral hand, respectively. The mean Quick-DASH score was 14.7 ± 19.4. The mean PRWHE score was 18.7 ± 22.4. The mean VAS was 1.1 ± 1.5. The mean Kapandji score was 8.3 ± 1.4. The pinch and grip strength were considerably superior in acute injuries. Degenerative changes were seen in all joints at the latest follow-up. None of our patients needed a revision surgery. Conclusion Ligament reconstruction method could result in favorable outcome in the management of pure dislocation of CMC joint. However, delayed surgery of this injury might adversely affect the outcome measures.

Suture Anchor Fixation for Scaphoid Nonunions With Small Proximal Fragments: Report of 11 Cases

2014 ◽  
Vol 39 (8) ◽  
pp. 1494-1499 ◽  
Author(s):  
Reza Shahryar Kamrani ◽  
Leila Oryadi Zanjani ◽  
Mohammad Hossein Nabian
Keyword(s):  
Suture Anchor ◽  
Suture Anchor Fixation ◽  
Anchor Fixation

Distal interphalangeal Joint Arthrodesis using only Kirschner Wires in small distal Phalanges

2021 ◽  
Vol 53 (05) ◽  
pp. 462-466
Author(s):  
Jun-Ku Lee ◽  
Soonchul Lee ◽  
SeongJu Choi ◽  
Dong Hun Han ◽  
Jongbeom Oh ◽  
...  
Keyword(s):  
Distal Phalanx ◽  
Bony Union ◽  
Dash Score ◽  
Medical Database ◽  
X Ray ◽  
Wire Fixation ◽  
Distal Interphalangeal ◽  
K Wires ◽  
Quick Dash

Abstract Purpose To report the clinical and radiographic results of arthrodesis of relatively small-sized distal interphalangeal joints (DIPJs) using only K-wire fixation. Patients and methods Between January 2000 and December 2018 28 arthrodesis in 21 patients (9 males and 12 females with an average age of 52.1 years) with relatively small-sized DIPJs were performed using only K-wires. Data on patient’s characteristics, such as age, sex, affected finger, and the number and size of the used k-wires were collected from the medical database. The narrowest diameter of the cortex and medulla of the distal phalanx was measured on preoperative plain radiographs. The time to union and the arthrodesis angle was determined using serial X-ray radiography follow-up. Preoperatively and at the latest follow-up examination, pain using the visual analogue scale (VAS) and the quick DASH score was registered. In addition, complications were investigated. Results Average follow-up period was 11.4 months. The small finger was mostly affected (n = 12; 42.9 %). The narrowest diameters of the distal phalanx cortex and the medulla measured on preoperative X-ray images were 2.8 mm (SD 0.5) and 1.2 mm (SD 0.4), respectively. Seven fusions were done with use of 1 K-wire, 20 with 2 (71.4 %), and 1 with 3 K-wires. The most common K-wire sizes were 1.1-inch (24 K-wires = 48 %), and 0.9 inch (21 K-wires = 42 %) The preoperative VAS score and quick DASH score improved from 6.1 (range: 0–9) and 25.8 (range: 2–38) to 0.4 (range: 0–2) and 3.4 (range: 0–10.2), respectively. 25 (89.3 %) out of 28 fingers achieved bony union in an average of 96.1 days (range: 58–114) with three non-union. Conclusion Arthrodesis of small DIPJs with K-wire fixation has a high success rate. Therefore, we suggest K-wire fixation as an acceptable alternative for patients with a small phalanx which may be at risk of mismatch with bigger implants. However, concerns remain in terms of fusion delay with K-wire only fixation.

Suture anchor fixation of displaced olecranon fractures in the elderly: a case series and surgical technique

2015 ◽  
Vol 24 (7) ◽  
pp. 1090-1097 ◽  
Author(s):  
Dexter K. Bateman ◽  
Jonathan D. Barlow ◽  
Corinne VanBeek ◽  
Joseph A. Abboud
Keyword(s):  
Surgical Technique ◽  
Suture Anchor ◽  
Case Series ◽  
The Elderly ◽  
Suture Anchor Fixation ◽  
Anchor Fixation ◽  
Olecranon Fractures
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