Arthroscopy-Assisted Scapholunate Reconstruction With Internal Brace Augmentation

Sze Ryn Chung; Jie Hui Nah; Andrew Yuan Hui Chin

doi:10.1016/j.eats.2023.03.005

Arthroscopy-Assisted Scapholunate Reconstruction With Internal Brace Augmentation

Arthrosc Tech. 2023 Jun 19;12(7):e1161-e1169. doi: 10.1016/j.eats.2023.03.005. eCollection 2023 Jul.

Authors

Sze Ryn Chung¹, Jie Hui Nah¹, Andrew Yuan Hui Chin¹

Affiliation

¹ Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore, Singapore.

Abstract

Various surgical techniques exist to repair or reconstruct complete scapholunate (SL) interosseous ligament tears, including capsulodesis, static or dynamic tenodesis, ligament reconstruction with tendon graft, bone-retinaculum-bone reconstruction, and the reduction and association of the scaphoid and lunate (RASL) procedure. The choice of surgical technique depends on arthroscopic assessment using the Geissler classification and European Wrist Arthroscopy Society staging of SL injury. This article describes arthroscopy-assisted extracapsular SL reconstruction using free tendon graft and internal brace augmentation for the treatment of unrepairable complete SL interosseous ligament tears.