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Scapholunate ligament reconstruction using a flexor carpi radialis tendon graft
Marco Sousa1, Ricardo Aido1, Daniel Freitas1
1Orthopaedic and Traumatology Department, Centro Hospitalar do Porto, Porto, Portugal.
Purpose:
To review the results of scapholunate ligament reconstruction using a flexor carpi radialis tendon graft.
Methods:
We performed a retrospective review of 22 patients with post-traumatic scapholunate instability who were treated with a modification of the Brunelli, a flexor carpi radialis tendon graft.
Results:
The mean follow-up was 61 months. The average age was 40 years. The average loss of flexion was 23° and of extension was 22° compared with the contralateral side. Grip strength averaged 67% of the nonoperated side. All patients except 2 returned to work. Degenerative changes were seen in 3 patients at the time of revision. Complications occurred in 2 patients and included avascular necrosis of the scaphoid.
Conclusions:
Perfect biomechanical reconstruction might not be possible for scapholunate dissociation. Our results show, however, that ligament reconstruction led to satisfactory results from the patient's point of view.
Type Of Study/Level Of Evidence:
Therapeutic IV.
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