title: Scapholunate Ligament Reconstruction: A Critical Analysis Review.
abstract: Scapholunate reconstruction procedures are best stratified according to preoperative stages of dissociative instability, injury chronicity, and arthrosis. In general, procedures aimed at correcting scapholunate instability focus on reestablishing ligament continuity in order to normalize carpal biomechanics; however, many existing interventions have shown differential success when performed on patients with varying stages of instability and degrees of carpal malalignment. The Mayo dorsal intercarpal ligament capsulodesis has proven most effective for preserving range of motion, whereas the Blatt capsulodesis has been associated with substantial improvements in terms of the postoperative pain rating and perceived functional capacity.
authors.affiliation: Division of Plastic Surgery, Department of Surgery, and Division of Hand Surgery, Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
authors.forename: Kayva
authors.initials: K
authors.lastname: Crawford
authors.forename: Nana
authors.initials: N
authors.lastname: Owusu-Sarpong
authors.forename: Charles
authors.initials: C
authors.lastname: Day
authors.forename: Matthew
authors.initials: M
authors.lastname: Iorio
mesh_terms: D050824:Carpal Joints; D006801:Humans; D007593:Joint Instability; D008023:Ligaments, Articular / Q000601:surgery*; D012667:Lunate Bone; D019651:Plastic Surgery Procedures; D014955:Wrist Joint / Q000601:surgery*