Extensor carpi radialis brevis ligamentoplasty and dorsal capsulodesis for the treatment of chronic post-traumatic scapholunate instability.
OBJECTIVE
To present a novel surgical technique that includes both extensor carpi radialis brevis (ECRB) ligamentoplasty and dorsal capsulodesis for the treatment of chronic post-traumatic scapholunate instability.


METHODS
We performed a retrospective review of 32 patients with chronic post-traumatic scapholunate instability (stage 4 or 5 according the Garcia-Elias' classification) who were treated with this technique. Pre- or intraoperative arthroscopic evaluation was carried out in all cases.


RESULTS
The postoperative wrist range of motion was generally improved except for wrist flexion. In 20 patients out of 29, the DISI deformity was corrected. Grip strength and pain was also improved postoperatively. Based on the Mayo wrist scoring, 16 patients had excellent results, eight patients had good results, three patients had fair results, and five patients had poor results.


CONCLUSIONS
Our technique which combines ECRB ligamentoplasty with dorsal capsulodesis is a reliable option for the surgical treatment of chronic postchronic post-traumatic scapholunate instability.
Papadogeorgou
E
E
Chloridon 7, 14572 Athens, Greece.
Mathoulin
C
C
D000328:Adult; D001174:Arthrodesis / Q000379:methods*; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000601:surgery*; D008023:Ligaments, Articular / Q000293:injuries / Q000601:surgery*; D012667:Lunate Bone; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D021361:Scaphoid Bone; D053441:Suture Anchors; D055815:Young Adult