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Handchir Mikrochir Plast Chir · Nov 2001
[Dorsal V-ligament reconstruction in scapholunate instability].
- T Ebinger, W Hintringer, K Wachter, S Merk, and M Mentzel.
- Abteilung für Unfallchirurgie, Hand- und Wiederherstellungs-chirurgie, Universität Ulm. thomas.ebinger@medizin.uni-ulm.de
- Handchir Mikrochir Plast Chir. 2001 Nov 1;33(6):401-7.
AbstractIn dynamic and static scapholunate instability after trauma, the repair of the scapholunate ligament is important to avoid scapholunate advanced collapse of the wrist. Direct suture even of fresh-torn ligaments can be technically demanding and occasionally unreliable, thus reconstruction may require additional tissue beside the ligament. Eighteen patients suffering from dynamic (n = 10) and static (n = 8) scapholunate instability were treated by a dorsal ligament reconstruction six months after trauma. A clinical wrist score according to Cooney showed an average of 86 points (maximum 100) within a follow-up of nineteen months after surgery. X-ray films documented no significant loss of scapholunate reduction. Using local tissue only, this method is always possible, very reliable and easy to perform.
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