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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2022; 50(02): e151-e156
DOI: 10.1055/s-0042-1758189
Técnica Cirúgica | Surgical Technique

Extensor Carpi Radialis Longus Ligamentoplasty as a Reconstruction Technique for Scapholunate Injuries

Article in several languages: español | English
Miguel del Cerro Gutiérrez 
1   Unidad de Cirugía de la Mano y Microcirugía, Hospital Beata María Ana, Madrid, España
,
Verónica Jiménez Díaz 
2   Unidad de Miembro Superior, Hospital Universitario 12 de Octubre, Madrid, España
,
Lorena García Lamas 
2   Unidad de Miembro Superior, Hospital Universitario 12 de Octubre, Madrid, España
,
Jorge García Donaire 
3   Servicio de Traumatología, Hospital Cenyt, Estepona, Málaga, España
,
María Teresa Vázquez Osorio 
4   Centro de Donación de Cadáveres, Departamento de Anatomía, Universidad Complutense de Madrid, Madrid, España
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Abstract

Objective To describe the arthroscopic surgical technique for the reconstruction of the scapholunate ligament using the extensor carpi radialis longus (ECRL) as a donor. This muscle can be very useful in this kind of procedure due to its biomechanical properties.

Surgical Technique After an initial diagnostic arthroscopy of the wrist, ligamentous reconstruction was carried out using an ECRL hemitendon though a minimally-invasive technique. The fixation devices used were the SwiveLock for the scaphoid and a 3 × 8-mm biotenodesis screw (Arthrex, Naples, FL, US) for the lunate.

Complications Difficult extraction of the ECRL tendon is the most frequent complication, due to an anatomical intersection between the first and second extensor compartments. It can be easily solved by performing an intermediate incision at this level to ensure the adequate release of the plasty.

Conclusion It is possible to perform a reconstruction of the scapholunate ligament using the ECRL hemitendon. Due to its biomechanical properties, it may be more advantageous to restore the carpal biomechanics. Further studies are required to confirm the suitability and superiority of this donor compared to others in reconstruction techniques.

Keywords

scapholunate - ligament - injury - reconstruction - ligamentoplasty


Publication History

Received: 03 March 2022

Accepted: 19 July 2022

Article published online:
16 December 2022

© 2022. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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