Three-ligament tenodesis for the treatment of scapholunate dissociation: indications and surgical technique.
Different surgical techniques have been proposed to treat traumatic scapholunate instability. Deciding which treatment is best for each individual case is not easy. In this article we report an algorithm of treatment based on a number of prognostic factors that may help in this matter. We also report on the promising results obtained using a new technique, the 3-ligament tenodesis, for the treatment of nonrepairable complete scapholunate ligament rupture, causing a reducible carpal malalignment without secondary osteoarthritis. This technique incorporates features from 3 previously described techniques.
Garcia-Elias
Marc
M
Department of Hand and Upper Extremity Surgery, Kaplan Institut, Barcelona, Spain. garciaelias@infonegocio.com
Lluch
Alberto L
AL
Stanley
John K
JK
D000293:Adolescent; D000328:Adult; D000465:Algorithms; D017760:Bone Malalignment / Q000601:surgery; D005260:Female; D018737:Hand Strength; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D007593:Joint Instability / Q000601:surgery*; D008023:Ligaments, Articular / Q000293:injuries / Q000601:surgery*; D012667:Lunate Bone / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular; D012421:Rupture / Q000601:surgery; D021361:Scaphoid Bone / Q000601:surgery; D013709:Tendon Transfer / Q000379:methods*; D016896:Treatment Outcome; D014955:Wrist Joint / Q000601:surgery*