Dolderer, Juergen H. and Zimny, Katja and Klein, Silvan M. and Koller, Michael and Prantl, Lukas and Geis, Sebastian (2019) Reconstruction of chronic scapholunate dissociation with the modified scapholunate axis method (SLAM). ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 139 (11). pp. 1641-1647. ISSN 0936-8051, 1434-3916
Full text not available from this repository. (Request a copy)Abstract
Introduction Injury to the scapholunate (SL) ligament represents a common trauma of the wrist but is frequently misdiagnosed because of non-specific pain. Established methods for SL reconstruction mainly focus on reducing pain and maintaining the reposition result at the expense of mobility and strength. This study aimed at restoring stability and reducing pain while simultaneously maintaining mobility and strength using the scapholunate axis method (SLAM). Material and methods 22 patients (19 male and 3 female) aged between 26 and 64 years with an SL ligament lesion underwent SLAM reconstruction. Mean duration between injury and operation was 7.9 +/- 5 (1-24) months. Hand functions using DASH, Mayo Wrist Score, range of motion, pain (at rest and weight-bearing) and grip strength were assessed prior and 12 months postoperative. Additionally SL angle was collected pre- and postoperative. Results Each of the 22 patients improved significantly postoperative in DASH and Mayo Wrist Score with regard to pain at rest and under weight-bearing. Additionally, grip strength could be improved up to 31% compared to preoperatively. In contrast, range of motion and SL angle and grip strength did not change essentially. Conclusions The secondary SL ligament reconstruction technique SLAM shows promising results. Pain was significantly relieved and grip strength was significantly increased. Additionally, DASH and Mayo Wrist Score could be significantly improved. However, SL angle and range of motion could not be improved in every patient and plane.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PARTIAL ARTHRODESIS; LIGAMENT REPAIR; CAPSULODESIS; INSTABILITY; HAND; FRACTURES; OUTCOMES; SL dissociation; SL reconstruction; Scapholunate injury; SLAC wrist; Carpal collapse |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 25 Mar 2020 06:40 |
| Last Modified: | 25 Mar 2020 06:40 |
| URI: | https://pred.uni-regensburg.de/id/eprint/25945 |
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