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Blatt's capsulodesis for chronic scapholunate dissociation.
S C Deshmukh1, P Givissis, D Belloso
1Centre for Hand and Upper Limb Surgery, Wrightington Hospital, Wigan, UK. scdeshmukh@aol.com
Journal of Hand Surgery (Edinburgh, Scotland)
|June 18, 1999
Summary
Blatt's dorsal capsulodesis for chronic scapholunate dissociation showed reduced wrist motion and grip strength post-surgery. Factors like delayed treatment and compensation claims impacted outcomes, while a high column/row index correlated with better results.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Wrist Biomechanics
Background:
- Chronic scapholunate dissociation is a debilitating wrist condition.
- Surgical intervention aims to restore wrist stability and function.
- Blatt's dorsal capsulodesis is a recognized surgical technique for this condition.
Purpose of the Study:
- To evaluate the clinical and radiological outcomes of Blatt's dorsal capsulodesis for chronic scapholunate dissociation.
- To identify factors influencing surgical success.
- To assess changes in wrist parameters post-operatively.
Main Methods:
- Prospective review of 44 patients with chronic scapholunate dissociation.
- Diagnosis confirmed via clinical and arthroscopic criteria.
- Minimum 2-year follow-up with clinical and radiological assessments.
Main Results:
- Statistically significant reductions in wrist movements and grip strength post-surgery.
- Delayed surgery and compensation claims were significant negative factors.
- High column/row index was associated with better outcomes; other parameters showed no significant effect.
Conclusions:
- Blatt's dorsal capsulodesis can be effective for chronic scapholunate dissociation, though with functional trade-offs.
- Surgical timing and psychosocial factors influence outcomes.
- The procedure did not significantly alter key radiographic measures like scapholunate gap or carpal height.