4-BONE LIGAMENT RECONSTRUCTION FOR TREATMENT OF CHRONIC COMPLETE SCAPHOLUNATE SEPARATION

被引：81

作者：

ALMQUIST, EE ^{[1
]}

BACH, AW ^{[1
]}

SACK, JT ^{[1
]}

FUHS, SE ^{[1
]}

NEWMAN, DM ^{[1
]}

机构：

[1] UNIV WASHINGTON,DEPT ORTHOPAED SURG,SEATTLE,WA 98195

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1991年 / 16A卷 / 02期

关键词：

D O I：

10.1016/S0363-5023(10)80120-0

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This study reviews the results of a four-bone ligamentous weave reconstruction for treatment of chronic complete scapholunate separation. This reconstruction between the radius, lunate, capitate, and scaphoid employs a dorsal and palmar approach weaving a long strip of the extensor carpi radialis brevis through the four bones reducing and stabilizing the scaphoid and lunate with a wire loop. Thirty-six consecutive cases of operated chronic complete scapholunate separation were evaluated in a 2- to 10-year follow-up. Average length of follow-up was 4.8 years. Average age was 34 years. Average postoperative range of motion was 52 degrees extension and 37 degrees flexion. Grip strength averaged 73% of the noninvolved side. All preoperative scapholunate gaps seen on radiographs were greater than 4 mm, at surgery greater than 1.0 cm, and the postoperative gaps radiographically averaged 3.3 mm. Eighty-six percent of patients returned to preinjury ativities including heavy labor. The most significant finding was no x-ray evidence of advancing arthritic changes.

引用

页码：322 / 327

页数：6

共 7 条

[1]

Watson HK, Hempton RF, Limited wrist arthrodesis, I: the triscaphoid joint, J Hand Surg, 5, pp. 320-327, (1980)

[2]

Palmar AK, Dobyns JH, Linscheid RL, Management of posttraumatic instability of the wrist secondary to ligament rupture, The Journal of Hand Surgery, 3, pp. 507-532, (1978)

[3]

Blatt G, Capsulodesis in reconstructive hand surgery, Hand Clin, 1, pp. 81-102, (1987)

[4]

Kleinman WB, Steicher JB, Strickland JW, Management of chronic rotary subluxation of the scaphoid by scapho-trapezio-trapezoid arthrodesis, J Hand Surg, 7, pp. 125-136, (1982)

[5]

Fisk GR, Carpal instability and the fractured scaphoid. Hunterian lecture May 7, 1968, Ann Royal Coll Eng Surg, 46, pp. 63-76, (1970)

[6]

Linscheid RL, Dobyns JH, Beaubout JW, Bryan RS, Traumatic instability of the wrist, diagnosis, classification, and pathomechanics, J Bone Joint Surg, 54 A, pp. 1612-1632, (1972)

[7]

Taleisnik J, Post-traumatic carpal instability, Clin Orthop, 149, pp. 73-82, (1980)

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