An arthroscopic-assisted minimal invasive method for the reconstruction of the scapho-lunate ligament using a bone–ligament–bone graft

Dellarosa, N; Özben, Hakan; Abate, Mersema; Russomando, A.; Petrella, Giovanna; Landi, Antonio

doi:10.1177/1753193414563012

Cited by 12 publications

(9 citation statements)

References 24 publications

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“…Various surgical procedures have been developed to restore the normal carpal alignment and ligamentous connections, including soft tissue repair in the form of dorsal capsulodesis (Blatt, 1987; Deshmukh et al, 1999; Lavernia et al, 1992; Moran et al, 2005; Schweizer and Steiger, 2002; Szabo et al, 2002; Wintman et al, 1995; Wyrick et al, 1998); tendon graft procedures (Almquist et al, 1991; Brunelli and Brunelli, 1995; Garcia- Elias et al, 2006; Palmer et al, 1978; Pauchard et al, 2013; Talwalker et al, 2006; Van Den Abbeele et al, 1998); or more recently, bone–ligament–bone autograft (Cuenod, 1999; Davis et al, 1998; Dellarosa et al, 2016; Hofstede et al, 1999; Shin et al, 1998).…”

Section: Introductionmentioning

confidence: 99%

Mid-term results of ligament tenodesis in treatment of scapholunate dissociation: a retrospective study of 20 patients

El-Gammal

Lukas

2015

J Hand Surg Eur Vol

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Section: Introductionmentioning

confidence: 99%

Mid-term results of ligament tenodesis in treatment of scapholunate dissociation: a retrospective study of 20 patients

El-Gammal

Lukas

2015

J Hand Surg Eur Vol

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“…The review included 43 patients from 4 studies involving intentional fibrous nonunion type procedures, 32,41,48,61 391 patients from 14 groups involving capsulodesis, [29][30][31]39,43,47,51,52,54,55,59,60,62,63 319 patients from 12 groups involving tenodesis techniques 25,30,34,36,37,40,[44][45][46]50,53,58 and 51 patients from 4 groups using bone-tissue-bone techniques. 35,42,57,64 Overall, 68% of patients were male, and the patients' average age was 39 years (Table 4). In patients with identifiable traumatic events, the average time from injury to surgery was 19 months.…”

Section: Resultsmentioning

confidence: 99%

Surgical outcomes of chronic isolated scapholunate interosseous ligament injuries: a systematic review of 805 wrists

Montgomery

Rollick

Kubik

et al. 2019

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Background: Management of chronic isolated scapholunate interosseous ligament (SLIL) injuries has generated a substantial volume of low-quality literature with descriptions of multiple new surgical techniques, and the impact of instability pattern and the optimal surgical technique remain unclear. The primary goal of this review was to compare clinical, radiographic and patient-rated outcomes between current surgical techniques. Methods: We performed a systematic literature search using multiple databases. We analyzed clinical, radiographic and patient-reported outcomes. We used a fixedeffects model weighted by sample size with combined outcomes estimated via least squares means with 95% confidence intervals. We also performed a subgroup analysis of static versus dynamic instability. Results: We assessed 805 procedures from 37 study groups, with 429 procedures used in subgroup analysis. There were no statistically significant differences in outcomes between surgical techniques or in subgroup analysis. Overall, postoperative wrist flexion and pain scores decreased, and grip strength and patient-rated outcomes improved. Conclusion: Compared to overall preoperative values, modest improvements in pain score, grip strength and functional outcome scores were obtained from a range of reconstructive procedures performed for chronic isolated SLIL injuries. No significant differences could be ascertained between surgical techniques, potentially owing to the low quality of evidence and procedure heterogeneity. This study provides accurate preoperative reference values for future studies, highlights the controversial clinical impact of instability classification, and the need for higher-quality multicentre or collaborative trials to improve our understanding and management of this common injury. Contexte : La prise en charge des blessures chroniques du ligament interosseux scapho-lunaire (LISL) a généré un volume substantiel d'articles de faible qualité où sont décrites plusieurs nouvelles techniques chirurgicales, mais l'impact du modèle d'instabilité et la technique chirurgicale optimale restent à clarifier. Le principal objectif de cette revue était de comparer les résultats cliniques, radiographiques et autodéclarés par les patients entre les diverses techniques chirurgicales actuelles. Méthodes : Nous avons procédé à une interrogation systématique de la littérature dans plusieurs bases de données. Nous avons analysé les résultats cliniques, radiographiques et autodéclarés par les patients. Nous avons utilisé un modèle à effets fixes pondéré par la taille de l'échantillon, avec paramètres mixtes estimés par les moyennes des moindres carrés et des intervalles de confiance à 95 %. Nous avons aussi effectué une analyse de sous-groupes (instabilité radiographique dynamique c. statique). Résultats : Nous avons évalué 805 interventions dans 37 groupes étudiés, et 429 interventions ont été utilisées dans les analyses de sous-groupes. On n'a noté aucune différence statistiquement significative pour ce qui est des résultats entre...

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“…The arthroscopically assisted technique, being minimally invasive, causes minimal soft tissue damage, reducing scar formation and any limitation of wrist motion. However, it is a difficult surgical technique and has the risks of avascular necrosis of the bone fragments and SL fusion, which may result in failure of the reconstruction (Corella et al., 2011; Dellarosa et al., 2016; Weiss, 1998).…”

Section: Discussionmentioning

confidence: 99%

“…radial wrist pain, Watson scaphoid shift test) (Mugnai et al., 2016; Watson et al., 1988). An arthroscopic examination may be required for confirmation and treatment delays are common (Dellarosa et al., 2016). Without appropriate treatment, the lunate bone progressively dorsiflexes (dorsal intercalated segment instability; DISI) while the scaphoid undergoes a rotatory subluxation producing abnormal stress on the carpal joints and ultimately producing osteoarthritic changes in the scapholunate advanced collapse (SLAC) pattern (Watson and Ballet, 1984).…”

Section: Introductionmentioning

confidence: 99%

Modified Viegas dorsal capsuloplasty for chronic partial injury of the scapholunate ligament in young athletes: outcomes at 24 months

Rosa

Sapino

Vita

et al. 2020

J Hand Surg Eur Vol

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The treatment of chronic scapholunate ligament tears in patients with high demand, such as young athletes, is difficult as traditional techniques are associated with some loss of wrist motion and grip strength. This retrospective investigation studied young athletes (≤20 years old) with chronic scapholunate ligament lesions and a minimum follow-up of 24 months, treated with a modified Viegas dorsal capsuloplasty. Twenty-six young athletes (mean age 17 years) were included. A partial scapholunate ligament tear (Geissler III) was seen in 25 patients. At the last follow-up, a significantly different improvement was seen in all measured parameters and all patients could return to their original competitive activity, within 6 months (range 4–12) after surgery. Level of evidence: IV

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An arthroscopic-assisted minimal invasive method for the reconstruction of the scapho-lunate ligament using a bone–ligament–bone graft

Abstract: IV.

Cited by 12 publications

References 24 publications

Mid-term results of ligament tenodesis in treatment of scapholunate dissociation: a retrospective study of 20 patients

Mid-term results of ligament tenodesis in treatment of scapholunate dissociation: a retrospective study of 20 patients

Surgical outcomes of chronic isolated scapholunate interosseous ligament injuries: a systematic review of 805 wrists

Modified Viegas dorsal capsuloplasty for chronic partial injury of the scapholunate ligament in young athletes: outcomes at 24 months

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