title: Scapholunate ligament reconstruction using a flexor carpi radialis tendon graft.
abstract: OBJECTIVE
  To review the results of scapholunate ligament reconstruction using a flexor carpi radialis tendon graft.
  
  
  METHODS
  We performed a retrospective review of 22 patients with post-traumatic scapholunate instability who were treated with a modification of the Brunelli, a flexor carpi radialis tendon graft.
  
  
  RESULTS
  The mean follow-up was 61 months. The average age was 40 years. The average loss of flexion was 23° and of extension was 22° compared with the contralateral side. Grip strength averaged 67% of the nonoperated side. All patients except 2 returned to work. Degenerative changes were seen in 3 patients at the time of revision. Complications occurred in 2 patients and included avascular necrosis of the scaphoid.
  
  
  CONCLUSIONS
  Perfect biomechanical reconstruction might not be possible for scapholunate dissociation. Our results show, however, that ligament reconstruction led to satisfactory results from the patient's point of view.
  
  
  METHODS
  Therapeutic IV.
authors.affiliation: Orthopaedic and Traumatology Department, Centro Hospitalar do Porto, Porto, Portugal. Electronic address: Marcoguedes81@gmail.com.
authors.forename: Marco
authors.initials: M
authors.lastname: Sousa
authors.affiliation: Orthopaedic and Traumatology Department, Centro Hospitalar do Porto, Porto, Portugal.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Aido
authors.affiliation: Orthopaedic and Traumatology Department, Centro Hospitalar do Porto, Porto, Portugal.
authors.forename: Daniel
authors.initials: D
authors.lastname: Freitas
authors.affiliation: Orthopaedic and Traumatology Department, Centro Hospitalar do Porto, Porto, Portugal.
authors.forename: Miguel
authors.initials: M
authors.lastname: Trigueiros
authors.affiliation: Orthopaedic and Traumatology Department, Centro Hospitalar do Porto, Porto, Portugal.
authors.forename: Rui
authors.initials: R
authors.lastname: Lemos
authors.affiliation: Orthopaedic and Traumatology Department, Centro Hospitalar do Porto, Porto, Portugal.
authors.forename: César
authors.initials: C
authors.lastname: Silva
mesh_terms: D000328:Adult; 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; D012189:Retrospective Studies; D021361:Scaphoid Bone; D013710:Tendons / Q000637:transplantation*; D014954:Wrist Injuries / Q000150:complications; D055815:Young Adult
keywords: Scapholunate dissociation; dynamic; stability; tenodesis; wrist instability