Instituto de Traumatología, Hospital Quirón, Airport Avenue, 14005, Córdoba, Spain.
, Córdoba, Spain.
Eur J Orthop Surg Traumatol. 2020 Oct;30(7):1299-1306. doi: 10.1007/s00590-020-02706-2. Epub 2020 May 23.
The purpose of this paper is to examine the results of reconstruction of the dorsal and palmar limbs of the scapholunate interosseous ligament in flexible static scapholunate instability using a slip of flexor carpi radialis tendon. Between June 2012 and August 2018, 13 patients with flexible static scapholunate instability underwent with this surgical technique. Mean patient age at surgery was 42 years. Average follow-up was 52, 8 months. The functional outcome postoperative according to Green and O'Brien was excellent in 1, good in 9 and regular in 3 patients. Postoperative disabilities of the arm, shoulder and hand and modified Mayo scores averaged were 9.02 and 80, respectively. At final follow-up, the radiographic findings demonstrated a significant decrease in scapholunate gap from 5 mm to 2, 5 mm and a significant improvement in scapholunate angle from 65° to 50°. Of the 13 patients, 10 were pain free and 3 had mild pain. Given the small number of cases, few conclusions can be drawn. However, results may be regarded as promising for this technique.
本文旨在探讨使用桡侧腕屈肌腱滑动术治疗-flexible static scapholunate instability 患者的背侧和掌侧腕骨间韧带重建的结果。2012 年 6 月至 2018 年 8 月，13 例-flexible static scapholunate instability 患者采用这种手术技术进行治疗。手术时患者的平均年龄为 42 岁。平均随访 52.8 个月。根据 Green 和 O'Brien 的标准，术后功能结果为优 1 例，良 9 例，可 3 例。术后上肢、肩和手的残疾和改良 Mayo 评分分别平均为 9.02 和 80。在最终随访时，影像学检查显示舟月间隙从 5mm 显著减少至 2.5mm，舟月角从 65°显著改善至 50°。13 例患者中，10 例无疼痛，3 例有轻度疼痛。由于病例数量较少，因此无法得出明确的结论。但是，对于这种技术，结果可能被认为是有希望的。
