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Scapholunate ligament 360° procedure.

Sanjeev Kakar1, Anthony L Logli1, Taghi Ramazanian1

  • 1Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

The Bone & Joint Journal
|May 3, 2021
PubMed
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This summary is machine-generated.

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The scapholunate ligament 360° tenodesis (SL 360) procedure shows promising early results for scapholunate (SL) instability. This technique offers improved wrist function and stability, allowing for earlier patient mobilization.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Musculoskeletal Research

Background:

  • Scapholunate (SL) instability is a common cause of wrist pain and dysfunction.
  • Current treatments for SL instability have limitations, including prolonged immobilization.
  • The SL 360 tenodesis technique aims to provide robust stability for SL instability.

Purpose of the Study:

  • To evaluate the early clinical, patient-reported, and radiological outcomes of the SL 360 tenodesis for treating reducible SL instability.

Main Methods:

  • A retrospective review of nine patients who underwent the SL 360 procedure for reducible SL instability.
  • Data collected included visual analogue scale (VAS) for pain, Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), Mayo Wrist Score (MWS), and Patient-Rated Wrist Examination (PRWE).
Keywords:
360-degree tenodesisInternal braceSL 360 procedureSLITT procedureScapholunate interosseous ligament

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  • Radiological assessment included scapholunate gap and angle measurements. Paired t-tests were used for analysis.

    • Main Results:

    • Patients demonstrated significant preoperative impairment in wrist flexion, extension, and grip strength compared to the unaffected side.
    • Preoperative scapholunate gap and angle were significantly increased in affected wrists.
    • At a mean follow-up of 33.7 months, significant improvements were observed in all clinical, radiological, and patient-reported outcomes.

    Conclusions:

    • The SL 360 procedure for reducible SL instability yields favorable early clinical, patient-reported, and radiological outcomes.
    • The suture tape and tendon construct provides robust stability, enabling earlier mobilization.
    • This technique avoids the disadvantages associated with Kirschner wire stabilization.