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J Wrist Surg
DOI: 10.1055/s-0044-1793840
Special Review Article

Treatment of Chronic Scapholunate Dissociation with FCR Tenodesis: A Systematic Review of the Results of MBT and 3LT Technique

Sofie Goeminne
1   Department of Orthopedic Surgery, AZ Sint Elisabeth, Herentals, Belgium
2   Department of Orthopedic Surgery, UZ Leuven, Leuven, Belgium
,
Eline Stroobants
1   Department of Orthopedic Surgery, AZ Sint Elisabeth, Herentals, Belgium
,
Nathalie van Beek
2   Department of Orthopedic Surgery, UZ Leuven, Leuven, Belgium
› Author Affiliations Funding None.
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Abstract

A systematic literature review was performed to assess the results of modified Brunelli tenodesis modified Brunelli technique (MBT) and three-ligament tenodesis (3LT) in the treatment of chronic scapholunate (SL) ligament injuries reported between 1998 and 2001. This review describes the surgical techniques, clinical outcomes, radiological evaluations, and complication rates among 600 patients. Following adherence to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, 15 studies were included (289 MBT and 311 3LT procedures). A heterogeneity in surgical technique was noted. An average pain reduction of 3 points on the visual analog score and a flexion–extension arch compatible with most daily activities were found. Radiographic follow-up showed medium-term improvements, but loss of reduction was observed in the long term. Secondary degeneration was seen in 15% of cases. Radiographic decay did not correlate with clinical outcomes. The overall complication rate was 9%. This review underscores the satisfactory clinical outcome of both procedures. Nonetheless, both interventions pose risks of complications and/or degeneration in the long term.

Keywords

scapholunate instability - wrist - ligament injury - carpal instability

Ethical Approvement

No ethical approvement for literature review.


Authors' Contributions

This literature review and data collection were conducted by E.S., under the guidance of S.G., and N.v.B.S.G. is the first author of the manuscript.


Supplementary Material



Publication History

Received: 15 May 2024

Accepted: 09 October 2024

Article published online:
08 November 2024

© 2024. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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