Osteonecrosis of the Scaphoid After Scapholunate Interosseous Ligament Repair and Dorsal Capsulodesis: Case Report

Berschback, John C.; Kalainov, David M.; Bednar, Michael S.

doi:10.1016/j.jhsa.2010.02.004

Cited by 12 publications

(5 citation statements)

References 22 publications

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“…32,36,44,48 Less frequent complications include scaphoid avascular necrosis 49 and lunate avascular necrosis. 38 Additionally, wrist stiffness is reported, particularly loss of wrist flexion, possibly due to concomitant dorsal capsulodesis.…”

Section: Clinical Results In the Literaturementioning

confidence: 99%

Open Treatment of Acute Scapholunate Instability

Swanstrom

Lee

2015

Hand Clinics

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Section: Clinical Results In the Literaturementioning

confidence: 99%

Open Treatment of Acute Scapholunate Instability

Swanstrom

Lee

2015

Hand Clinics

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“…In addition, wire drilling and multiple wire passes to correct pin position may cause thermal necrosis of the bone and lead to fixation failure. 9 Thus, adequate stabilisation with minimal biological impairment is preferred. Screws for permanent or temporary fixation have a higher impact on bony substance, and thus Kirschner wires are preferred.…”

Section: Discussionmentioning

confidence: 99%

“…1). 9,10 Wire fixation should be minimal so as not to impair ligament and fracture healing, [11][12][13] but strong enough to provide stability. Joint surfaces should be spared to avoid subsequent arthritis, especially the lunate facet of the radius and the proximal cartilage of the lunate and capitate, as a 4-corner fusion or proximal row carpectomy may be necessary for SL advanced collapse of the wrist.…”

Section: Introductionmentioning

confidence: 99%

Kirschner Wire Fixations for Scapholunate Dissociation: A Cadaveric, Biomechanical Study

Jakubietz

Zahn

Gruenert

et al. 2012

J Orthop Surg (Hong Kong)

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purpose. To compare 5 different Kirschner wire fixation techniques in terms of the failure loads seen as scapholunate (SL) dissociation in a cadaveric, biomechanical study. Methods. 10 fresh-frozen, finger-amputated wrists with sectioned SL ligaments from 3 male and 2 female cadavers were tested. The change of SL angle, SL dissociation, and the load to failure of the 5 different Kirschner wire fixation techniques (using 1.4-mm Kirschner wires) were compared using an axial loading testing machine. The techniques were: (1) SL fixation (using one wire), (2) SL fixation (using 2 wires), (3) SL and scaphocapitate (SC) fixation, (4) SL, SC, and capitolunate (CL) fixation, and (5) CL fixation alone. results. There was no significant difference between SL fixations using one or 2 wires. The force for SL dissociation was significantly greater in the SL-SC fixation than the SL fixation using one wire (p=0.003). The SL-SC-CL fixation was not significantly stronger 2012;20(2):224-9 than the SL-SC fixation. conclusion. The SL-SC fixation achieved adequate stabilisation of both carpal rows with minimal biological impairment.

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“…There have been limited reports of scaphoid AVN after scaphoid fracture repair [8,9], SL ligament repair and dorsal capsulodesis [2], and three-ligament tenodesis [7], but AVN of the scaphoid following SL screw fixation with the RASL procedure or other methods of SL screw fixation has not been reported to our knowledge. There are several potential etiologies for the development of AVN in this patient.…”

Section: Discussionmentioning

confidence: 99%