Tenodesis de ligamento tercero para el tratamiento de la disociación escafolunar

"Tenodesis del ligamento tercero para el tratamiento de la disociación escafolunar: Indicaciones y técnica quirúrgica."

Marc Garcia-Elias MD, PhD, , Alberto L. Lluch MD, PhD and John K. Stanley, FRCS, MChOrth, FRCS, FRCSE

Department of Hand and Upper Extremity Surgery, Kaplan Institut, Barcelona, Spain; and the Department of Hand and Upper Limb Surgery, Wrightington Hospital for Joint Disease, Wigan, England.

Different surgical techniques have been proposed to treat traumatic scapholunate instability. Deciding which treatment is best for each individual case is not easy. In this article we report an algorithm of treatment based on a number of prognostic factors that may help in this matter. We also report on the promising results obtained using a new technique, the 3-ligament tenodesis, for the treatment of nonrepairable complete scapholunate ligament rupture, causing a reducible carpal malalignment without secondary osteoarthritis. This technique incorporates features from 3 previously described techniques.

The Journal of Hand Surgery. Volume 31, Issue 1 , January 2006, Pages 125-134.