title: An arthroscopic-assisted minimal invasive method for the reconstruction of the scapho-lunate ligament using a bone-ligament-bone graft.
abstract: We report the outcomes of an arthroscopic-assisted minimally invasive technique to reconstruct the scapho-lunate ligament using a bone-ligament-bone graft in 11 patients (11 wrists). The mean follow-up time was 29 months (range 20 to 38). The preoperative mean wrist flexion, extension, grip strength and patient-rated wrist evaluation score values were 61°, 54°, 115 N and 54, respectively. The postoperative mean values were 64°, 58°, 142 N and 15, respectively. There were no statistical differences between the pre- and postoperative wrist flexion and extension, whereas changes in grip strength and patient-rated wrist evaluation score were significant. Scapho-lunate angles decreased significantly from 69° to 60°. Based on our clinical outcomes, this method provides a reliable alterative for the reconstruction of the scapho-lunate ligament in patients with persistent Geissler type 3 and 4 lesions in the short-term.
  
  
  METHODS
  IV.
authors.affiliation: Azienda Ospedaliero - Universitaria Policlinico di Modena, Hand Surgery and Microsurgery Unit.
authors.forename: N
authors.initials: N
authors.lastname: Dellarosa
authors.affiliation: Koc University, School of Medicine, Department of Orthopaedics and Traumatology, Istanbul, Turkey hakanozben@yahoo.com.
authors.forename: H
authors.initials: H
authors.lastname: Ozben
authors.affiliation: Department of Orthopaedics and Traumatology, Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Garibaldi.
authors.forename: M
authors.initials: M
authors.lastname: Abate
authors.affiliation: Azienda Ospedaliero - Universitaria Policlinico di Modena, Hand Surgery and Microsurgery Unit.
authors.forename: A
authors.initials: A
authors.lastname: Russomando
authors.affiliation: Azienda Ospedaliero - Universitaria Policlinico di Modena, Hand Surgery and Microsurgery Unit.
authors.forename: G
authors.initials: G
authors.lastname: Petrella
authors.affiliation: Azienda Ospedaliero - Universitaria Policlinico di Modena, Hand Surgery and Microsurgery Unit.
authors.forename: A
authors.initials: A
authors.lastname: Landi
mesh_terms: D000328:Adult; D001182:Arthroscopy; D064592:Autografts; D005500:Follow-Up Studies; D018737:Hand Strength; D006801:Humans; D008023:Ligaments, Articular / Q000293:injuries / Q000601:surgery / Q000637:transplantation*; D012667:Lunate Bone / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D050279:Metacarpal Bones / Q000637:transplantation*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011859:Radiography; D012189:Retrospective Studies; D021361:Scaphoid Bone / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D051223:Trapezoid Bone / Q000637:transplantation*; D014954:Wrist Injuries / Q000601:surgery; D055815:Young Adult
keywords: Scapho-lunate ligament; bone ligament bone; carpal instability; graft