title: Early results of combined palmar-dorsal scapholunate ligament reconstruction.
abstract: Isolated dorsal scapholunate reconstruction may be inadequate to stabilize and restore physiological scapholunate kinematics in the setting of combined dorsal and palmar ligamental incompetence. To address this entity, a combined reconstruction that encompass both dorsal and palmar scapholunate reconstruction was performed in 20 patients followed up to 19.8 (6-84) months. Compared to the contralateral wrist, the results were extension (67 ± 1.6 to 85.7%, p < 0.01), flexion (84.5 ± 3.2 to 81 ± 2.3%, p = 0.38), grip strength (62 ± 1.6 to 88.3 ± 1.9%, p < 0.01), and pain score (rest: 1.55 ± 0.26 to 0.2 ± 0.09, p < 0.01; activity: 3.2 ± 0.09 to 0.4 ± 0.17, p < 0.01). Based on Mayo wrist score, five excellent, 13 good, and two fair results were reported.
authors.affiliation: Department of Hand and Reconstructive Microsurgery, National University Hospital, Singapore 119228, Singapore.
authors.forename: Tun-Lin
authors.initials: TL
authors.lastname: Foo
authors.forename: Beng-Hai
authors.initials: BH
authors.lastname: Lim
mesh_terms: D000328:Adult; D018737:Hand Strength; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008023:Ligaments, Articular / Q000601:surgery*; D010147:Pain Measurement; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D014955:Wrist Joint / Q000601:surgery