title: [Ligament reconstruction for lunotriquetral instability using a distally based strip of the extensor carpi ulnaris tendon].
abstract: OBJECTIVE
  Stabilization of the lunotriquetral junction.
  
  
  METHODS
  Dynamic and static chronic instability without fixed dislocation of the carpals.
  
  
  METHODS
  Chronically fixed dislocation of the carpals, ulnar impaction syndrome, osteoarthritis of the joint between hamate and triquetrum and other parts of the wrist joint, rheumatoid arthritis, chondrocalcinosis.
  
  
  METHODS
  Restoration of the palmar portion of the lunotriquetral ligament using a distally based strip of the extensor carpi ulnaris tendon with temporary fixation of the lunotriquetral junction with K-wires.
  
  
  METHODS
  Immobilization for 8 weeks with a radial cast that includes the first metacarpophalangeal joint. Removal of the K-wires after 8 weeks and exercise.
  
  
  RESULTS
  The procedure with rare complications reliably restores stability of the lunotriquetral junction. Reduction of grip strength, pain during exercise, and a reduced range of motion persist. Overall, the results are predominantly good and excellent.
authors: Klinik für Handchirurgie, Salzburger Leite 1, 97616, Bad Neustadt an der Saale, Deutschland. t.pillukat@handchirurgie.de.
authors: T
authors: T
authors: Pillukat
authors: Klinik für Fußchirurgie, Bad Neustadt an der Saale, Deutschland.
authors: R A
authors: RA
authors: Fuhrmann
authors: Klinik für Unfall- und Handchirurgie, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.
authors: J
authors: J
authors: Windolf
authors: Klinik für Handchirurgie, Salzburger Leite 1, 97616, Bad Neustadt an der Saale, Deutschland.
authors: J
authors: J
authors: van Schoonhoven
mesh_terms: D000328:Adult; D005260:Female; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008023:Ligaments, Articular / Q000601:surgery*; D012667:Lunate Bone / Q000601:surgery; D008297:Male; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D013536:Suture Techniques / Q000295:instrumentation*; D013709:Tendon Transfer / Q000379:methods; D013710:Tendons / Q000637:transplantation*; D016896:Treatment Outcome; D051221:Triquetrum Bone / Q000601:surgery; D055815:Young Adult
keywords: Carpal instability; Ligament reconstruction; Lunotriquetral ligament; Surgical procedure; Tendon transfer