Review of surgical treatment for chronic scapholunate ligament reconstruction: a long-term study

Purpose Scapholunate dissociation (SLD) is a common entity encountered by hand surgeons. While multiple methods for surgical treatment exist, there is little agreement on the best surgical techniques to treat chronic, static SLD. Our study's goal was to assess the long-term (greater than five y...

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Bibliographic Details
Published in:European journal of orthopaedic surgery & traumatology 2023-05, Vol.33 (4), p.787-793
Main Authors: Imada, Allicia O., Eldredge, Jonathan, Wells, Laurie, Moneim, Moheb S.
Format: Article
Language:English
Subjects:
Arthritis
Cartilage
Confidence intervals
General Review
Humans
Injuries
Joint Instability - surgery
Ligaments
Ligaments, Articular - surgery
Lunate Bone - surgery
Medicine
Medicine & Public Health
Orthopedics
Range of motion
Scaphoid Bone - surgery
Skin & tissue grafts
Standard deviation
Surgery
Surgical Orthopedics
Surgical outcomes
Tenodesis - methods
Traumatic Surgery
Wrist
Wrist Joint - surgery
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Summary:Purpose Scapholunate dissociation (SLD) is a common entity encountered by hand surgeons. While multiple methods for surgical treatment exist, there is little agreement on the best surgical techniques to treat chronic, static SLD. Our study's goal was to assess the long-term (greater than five years), clinical and radiologic outcomes of the currently recommended treatment options for chronic, static SLD. Methods We performed a review of the literature to assess outcomes after surgical treatment of chronic, static SLD with long-term follow-up of greater than five years. Results We found only six studies that encompassed the modified Brunelli tenodesis, capsulodesis, scapholunate arthrodesis, and bone-ligament-bone graft using the modified Cuenod procedure. All were level of evidence IV. Many patients went back to some form of work. Tenodesis showed less development of arthritis and greater improvement in scapholunate gap, while capsulodesis showed greater postoperative flexion and extension. Of note, study size varied with 67 combined patients in the capsulodesis studies and 30 patients in the tenodesis studies. Conclusion There was no clear superiority of one procedure over the others. More long-term data are needed to identify the best surgical treatment of chronic, static SLD.
ISSN:1432-1068
1633-8065
1432-1068
DOI:10.1007/s00590-022-03294-z