[Results of anchor fixation in ligament and tendon injuries of hand and wrist].
Surgical repair of hand and wrist tendons and ligaments usually require stability and secure fixation to bone. The stability obtained by anchors have been proved to be effective, safe, easy to use and with less difficulties compared to traditional systems. We retrospectively reviewed 19 patients treated with this system in our service between June, 2002 and September, 2004. All of them with a diagnosis of capsular, ligament or tendon injuries of the hand and/or wrist. Our main objective was to evaluate satisfaction and clinical evolution using anchors. Each patient was evaluated clinically and radiografically. Mean follow-up was 17.63 months (range 6-31). The mean age was 42.7 years (range 23-70). We found 4 scapholunate instabilities, 8 metacarpophalangeal (MCP) and interphalangeal (IP) capsular-ligament instabilities, 1 triquetral-metacarpal instability, 3 rheumatic hands, 2 interposition arthroplasties (IFP) and 1 tendon transfer. Two complications were found related to articular stiffness, 16 patients reported significant improvement, 2 reported mild improvement and 1 showed poor improvement. Residual instability was found in 2 patients after the procedure at the evaluation time, complete range of motion was found in 15 patients, mild decrease in the range of motion appeared in 2 patients and complete loss of motion in 2. The DASH questionnaire was applicated to all patients. The radiographic evaluation didn't show failure in the fixation procedure. We conclude that the anchor the fixation system is highly successful, safet and useful in any capsular ligament and tendon reinsertion to bone in hand surgery.
Servicio de Cirugía de la Mano y Microcirugía, Instituto Nacional de Rehabilitación. aeg278@prodigy.net.mx
Alejandro
A
Espinosa Gutiérrez
Leopoldo
L
Serrano de la Cruz
José Gerardo
JG
Zárate Ramírez
Ranulfo
R
Romo Rodríguez
D000328:Adult; D000368:Aged; D005260:Female; D006225:Hand; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008022:Ligaments / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D012189:Retrospective Studies; D021361:Scaphoid Bone; D053441:Suture Anchors; D013710:Tendons / Q000601:surgery*; D014953:Wrist; D055815:Young Adult