Early results of combined palmar-dorsal scapholunate ligament reconstruction

Isolated dorsal scapholunate reconstruction may be inadequate to stabilize and restore physiological scapholunate kinematics in the setting of combined dorsal and palmar ligamental incompetence. To address this entity, a combined reconstruction that encompass both dorsal and palmar scapholunate reconstruction was performed in 20 patients followed up to 19.8 (6-84) months. Compared to the contralateral wrist, the results were extension (67 ± 1.6 to 85.7%, p < 0.01), flexion (84.5 ± 3.2 to 81 ± 2.3%, p = 0.38), grip strength (62 ± 1.6 to 88.3 ± 1.9%, p < 0.01), and pain score (rest: 1.55 ± 0.26 to 0.2 ± 0.09, p < 0.01; activity: 3.2 ± 0.09 to 0.4 ± 0.17, p < 0.01). Based on Mayo wrist score, five excellent, 13 good, and two fair results were reported.