Ligamentous reconstruction of scapholunate dislocation through a double dorsal and palmar approach.
Six patients were treated for scapholunate dissociation by reconstruction of both the palmar and dorsal parts of the scapholunate interosseous ligament through a combined palmar and dorsal approach. The mean active range of motion of the wrist at final follow-up was 44 degrees of flexion and 58 degrees of extension and the mean hand grip strengths was 88% of that of the contralateral hand. The average time to return to work was 105 days and the mean DASH score at a mean follow-up of 32 months was 18. At follow-up, radiographs showed maintenance of the anatomical reduction of the scapholunate articulation in all cases and the scapholunate angle was normal in five patients.
Marcuzzi
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Unit of Hand Surgery and Microsurgery, Policlinico of Modena, Italy. marcuzzi.a@policlinico.mo.it
Leti Acciaro
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Caserta
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Landi
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