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A New Arthroscopic One-Needle-One-Suture Repair Technique for Scapholunate Instability
Chaoming Zhang1,2, Rebecca Q R Lim3, Lucian Lior Marcovici4
1The Eighth Clinical Medical College of Guangzhou University of Chinese Medicine, Foshan, China.
The Journal of Hand Surgery Asian-Pacific Volume
|January 9, 2026
Summary
A new arthroscopic technique simplifies scapholunate instability (SLI) repair using a single suture. This minimally invasive approach aims to restore carpal ligament integrity and motion for SLI patients.
Area of Science:
- Orthopedic Surgery
- Arthroscopy
- Hand Surgery
Background:
- Scapholunate instability (SLI) is the most common carpal instability.
- Current repair methods vary, with a growing preference for minimally invasive techniques.
- Restoring ligament integrity and carpal kinematics are key treatment goals.
Purpose of the Study:
- To introduce a novel, all-arthroscopic one-needle-one-suture repair technique for SLI.
- To present a simplified, minimally invasive surgical option for SLI management.
Main Methods:
- A single 0.0 FiberWire suture is used with an 18-gauge needle for precise placement.
- The technique involves all-arthroscopic visualization and manipulation.
- Sutures are secured using an arthroscopic gliding knot.
Main Results:
- The technique allows for precise suture placement within the scapholunate ligament complex.
- It reduces the number of punctures and complex suture maneuvers required.
- Streamlines the surgical procedure for SLI repair.
Conclusions:
- This novel technique offers a simpler, minimally invasive alternative for SLI repair.
- It has the potential to effectively restore scapholunate ligament integrity and carpal kinematics.
- Further evaluation is needed to establish its efficacy in diverse patient populations.
