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解剖学C型舟月重建技术：用于舟月间隙完全分离

Anatomic C Scapholunate Reconstruction Technique: For Complete Dissociation of the Scapholunate Interval.

作者信息

Kalapos Robert, Manley Mollie

机构信息

Arthrex Inc, Naples, FL.

Department of Orthopedic Surgery, Crystal Clinic, Akron, OH.

出版信息

J Hand Surg Glob Online. 2024 Sep 20;6(6):903-909. doi: 10.1016/j.jhsg.2024.08.015. eCollection 2024 Nov.

DOI:10.1016/j.jhsg.2024.08.015
PMID:39703583
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11652300/
Abstract

This surgical technique article describes the anatomic C scapholunate reconstruction technique. It is indicated for complete acute or chronic scapholunate ligament dissociation. The technique addresses severe scapholunate interval gapping, ulnar translocation of the lunate, and rotational/dorsal intercalated segment instability. The C-shaped ligament is cradled from dorsal to volar using a symmetric four anchor/synthetic tape construct through a single dorsal incision and hyperflexion of the wrist. It does not require any volar incision/approach, as previously described techniques, and also avoids vascular disruption of the scaphoid ridge. An athlete patient case with illustration is also presented, who was treated with anatomic C scapholunate reconstruction on one wrist and all-dorsal scapholunate reconstruction on the other wrist. The two wrists are compared, and postoperative management with technique pearls and pitfalls are described.

摘要

这篇手术技术文章描述了舟月骨解剖C形重建技术。它适用于急性或慢性舟月韧带完全离断。该技术可解决严重的舟月间隙增宽、月骨向尺侧移位以及旋转/背侧嵌入节段不稳定问题。通过单一的背侧切口和腕关节极度屈曲，使用对称的四锚钉/合成带结构从背侧向掌侧构建C形韧带。与先前描述的技术不同，它不需要任何掌侧切口/入路，还避免了舟骨嵴的血管破坏。本文还展示了一个运动员患者病例并配有插图，该患者一只手腕接受了舟月骨解剖C形重建，另一只手腕接受了全背侧舟月骨重建。对两只手腕进行了比较，并描述了术后管理以及技术要点和陷阱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/e01e0976a3ee/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/453c1eb1dc1e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/e7ffe9de3a96/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/abe022019ec9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/ae91bf43ab56/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/cf72b8a9ce66/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/50577521a5e1/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/391c21407353/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/1af0944e644c/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/4a67383bd84e/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/e01e0976a3ee/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/453c1eb1dc1e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/e7ffe9de3a96/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/abe022019ec9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/ae91bf43ab56/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/cf72b8a9ce66/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/50577521a5e1/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/391c21407353/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/1af0944e644c/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/4a67383bd84e/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b213/11652300/e01e0976a3ee/gr10.jpg

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Scapholunate ligament 360° procedure.舟月韧带 360° 手术。
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