Advertisement

Chronic Lunotriquetral Ligament Injuries: Arthrodesis or Capsulodesis

  • L. De Smet
  • I. Janssens
  • W. Van De Sande
Chapter

Abstract

Lunotriquetral ligament ruptures were treated by arthrodesis or ligament reconstruction. The outcomes were retrospectively reviewed: 17 underwent an arthrodesis and 13 a reconstruction with a strip of the extensor retinaculum.

In the arthrodesis group, nine were not satisfied – complications and reoperations were numerous – and eight developed a pseudarthrosis.

In the reconstruction group, eight were satisfied, five were not. Complications were less frequent and less severe.

References

  1. 1.
    Blatt G (1987) Capsulodesis in reconstructive hand surgery: dorsal capsulodesis for the unstable scaphoid and volar capsulodesis following excision of the distal ulna. Hand Clin 3:81–102PubMedGoogle Scholar
  2. 2.
    Guidera P, Dwyer T, Orlando G, Zeppieri J, Yasuda M (2002) Lunotriquetral arthrodesis using cancellous bone grafts. J Hand Surg 26A:422–427Google Scholar
  3. 3.
    Kirchenbaum D, Coyle M, Leddy JP (1993) Chronic lunotriquetral instability: diagnosis and treatment. J Hand Surg 18A:1107–1112Google Scholar
  4. 4.
    McAuliffe J, Dell P, Jaffe R (1993) Complications of intercarpal arthrodesis. J Hand Surg 18A:1121–1127Google Scholar
  5. 5.
    Nelson D, Manske P, Pruitt D, Martin R (1993) Lunotriquetral arthrodesis. J Hand Surg 18A:1113–1120Google Scholar
  6. 6.
    Pin P, Young V, Gilula L, Weeks P (1989) Management of chronic lunotriquetral ligament tears. J Hand Surg 14A:77–83Google Scholar
  7. 7.
    Reajan D, Linscheid R, Dobyns J (1984) Lunotriquetral sprains. J Hand Surg 9A:502–514Google Scholar
  8. 8.
    Ritt M, Linscheid R, Cooney W, Berger R, An K (1998) The lunotriquetral joint: kinematic effects of sequential ligament section, ligament repair and arthrodesis. J Hand Surg 23A:432–445Google Scholar
  9. 9.
    Sennwald G, Fischer M, Mondi P (1995) Lunotriquetral arthrodesis: a controversial arthrodesis. Hand Surg 20B:755–760Google Scholar
  10. 10.
    Sennwald G, Fischer M, Zdravkovic V (1996) The value of arthroscopy in the evaluation of carpal instability. Bull Hosp Joint Dis 54:186–189Google Scholar
  11. 11.
    Shin A, Weinstein L, Berger R, Bishop A (2000) Treatment of isolated injuries of the lunotriquetral ligament. J Hand Surg 83B:1023–1028Google Scholar
  12. 12.
    Vandesande W, De Smet L, Van Ransbeeck H (2002) Lunotriquetral arthrodesis, a procedure with a high failure rate. Acta Orthop Belg 67:361–367Google Scholar

Copyright information

© Springer-Verlag France 2013

Authors and Affiliations

  1. 1.Department of Orthopedic SurgeryU.Z. PellenbergLubbeek (Pellenberg)Belgium

Personalised recommendations