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J Wrist Surg 2017; 06(01): 011-021
DOI: 10.1055/s-0036-1583304
Scientific Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Combined Tenodesis–Capsulodesis for Scapholunate Instability: Minimum 2-Year Follow-Up

Pablo De Carli
1   Hospital Italiano de Buenos Aires, “Carlos E. Ottolenghi” Institute, Hand Surgery and Upper Extremity Center, Buenos Aires, Argentina
,
Agustin G. Donndorff
1   Hospital Italiano de Buenos Aires, “Carlos E. Ottolenghi” Institute, Hand Surgery and Upper Extremity Center, Buenos Aires, Argentina
,
Miguel Tovar Torres
1   Hospital Italiano de Buenos Aires, “Carlos E. Ottolenghi” Institute, Hand Surgery and Upper Extremity Center, Buenos Aires, Argentina
,
Jorge G. Boretto
1   Hospital Italiano de Buenos Aires, “Carlos E. Ottolenghi” Institute, Hand Surgery and Upper Extremity Center, Buenos Aires, Argentina
,
Gerardo L. Gallucci
1   Hospital Italiano de Buenos Aires, “Carlos E. Ottolenghi” Institute, Hand Surgery and Upper Extremity Center, Buenos Aires, Argentina
› Author Affiliations
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Publication History

15 February 2016

17 March 2016

Publication Date:
09 May 2016 (online)

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Abstract

Background The aim of this study is to evaluate the clinical and radiological midterm results of a combined dorsal tenodesis–capsulodesis for static and reducible scapholunate dissociation (SLD).

Patients and Methods We evaluated 20 of 22 consecutive patients with static SLD minimum with follow-up of 2 years operated between 2003 and 2012. The mean age was 40 years (range: 23–65 years). Seventeen were men. Final evaluation included comparative wrist range of motion (ROM) and grip strength, pre- and postoperative pain and function by visual analog scale, and QuickDASH and Wrightington scores. Radiographs included preoperative, early postoperative, and final X-rays. Scapholunate space (SLS) and scapholunate and radioscaphoid angles (SLA and RSA) were measured. Statistical significance was evaluated with Student t-test, considered significant when p < 0.05.

Results Mean follow-up was 67 months (range: 24–126 months). Mean final ROM was: flexion 55 degrees (73%), extension 62 degrees (90%), radial deviation 19 degrees (82%), and ulnar deviation 44 degrees (90%). Mean grip strength was 44 kg (92%). Pain at rest improved from 3.4 to 0.5 (p < 0.05). Pain in activity improved from 7 to 1.7 (p < 0.05). Final function was 8.5 (preoperative, 5.2; p < 0.05). Mean QuickDASH score improved from 38 to 8 (p < 0.05). Functional Wrightington score was as follows: 13 excellent, 3 good, 1 regular, and 3 poor. There were three postoperative minor complications. Radiological results (preoperative/early postoperative/final follow-up) were as follows: SLS, 4.7/1.6/1.8 mm; and SLA, 60/50/62 degrees; RSA, 39/45/37 degrees. Four patients showed arthritic changes (two SLAC wrist).

Conclusion The clinical and radiological results with more than 2-year follow-up suggest that this technique may be effective, reproducible, and safe for symptomatic static and reducible SLD.

Level of Evidence Level IV, case series.

Keywords

capsulodesis - carpal instability - scapholunate dissociation - tenodesis

Note

All authors adhere to the ethical standards described by the Committee on Publication Ethics and the International Committee of Medical Journal Editors.


 

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