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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2022; 50(01): e69-e74
DOI: 10.1055/s-0042-1743279
Surgical Technique | Técnica Quirúrgica

Scaphometacarpal Stabilization Technique for Repairable Scapholunate Injury

Artikel in mehreren Sprachen: English | español
S. Pajares
1   Orthopedic Surgery and Traumatology Department, Clínica Universidad de Navarra, Madrid, Madrid, Spain
,
J. Gómez-Álvarez
1   Orthopedic Surgery and Traumatology Department, Clínica Universidad de Navarra, Madrid, Madrid, Spain
,
X Sola-Mallo 
2   Department of Orthopedic Surgery, Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Galicia, Spain
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Abstract

Despite the numerous techniques (both arthroscopic and open) for the treatment of acute scapholunate instability, there is no consensus on which one results in better healing of the ligaments. In the present work, we describe a new surgical technique to achieve stability of the scaphoid that enables the reduction inflexion and pronation of this bone when dissociation is produced. Using a high-strength suture wire with double cortical button anchor (Mini TightRope, Arthrex, Naples, FL, US, or MicroLink, Conmed, Largo, FL, US) stabilization of the scaphoid is achieved to protect ligament healing without the need for postoperative immobilization.

Resumen

A pesar de las numerosas técnicas (tanto artroscópicas como abiertas) para el tratamiento de la inestabilidad escafolunar aguda, no existe un consenso sobre cuál produce una mejor cicatrización ligamentosa. En este trabajo, presentamos una nueva técnica quirúrgica para conseguir una estabilización escafoidea que permita disminuir la flexión y la pronación del escafoides cuando se produce la disociación. Mediante un cable de sutura de alta resistencia con doble anclaje tipo botón cortical (Mini TightRope, Arthrex, Naples, FL, EEUU, o MicroLink, Conmed, Largo, FL, EEUU), se consigue una estabilización dinámica del escafoides para proteger la cicatrización ligamentosa sin necesidad de inmovilización postoperatoria.

Keywords

scapholunate lesion - dynamic stabilization - mobilization - recovery


Publikationsverlauf

Eingereicht: 12. Juli 2021

Angenommen: 18. November 2021

Artikel online veröffentlicht:
23. Juni 2022

© 2022. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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