Chronic lunotriquetral dissociation: dorsal capsular reinforcement with a retinaculum flap.
The authors have used dorsal capsular reinforcement with a retinacular flap to treat 13 patients with chronic lunotriquetral instability. The patients, 8 female and 5 male with a mean age of 30 years, were reviewed by an independent observer after a mean follow-up of 3.2 years. Overall patient satisfaction was poor in five, moderate in five and excellent in three. Three patients underwent a secondary procedure: lunotriquetral arthrodesis in two and tenolysis of the extensors in one. Overall, the authors did not find a significantly better outcome compared to lunotriquetral arthodesis, but the complication rate and the rate of reoperations were lower.
de Smet
Luc
L
Orthopaedic Department, University Hospital Pellenberg, Catholic University of Leuven, Belgium. Luc.desmet@UZ.Kuleuven.ac.be
Janssens
Igor
I
Van Ransbeeck
Hilde
H
D000293:Adolescent; D000328:Adult; D001174:Arthrodesis / Q000379:methods*; D002648:Child; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012086:Reoperation; D013524:Surgical Flaps; D016896:Treatment Outcome; D014955:Wrist Joint / Q000473:pathology* / Q000601:surgery*