All-Dorsal Arthroscopic Ligamentoplasty (ADAL) in Scapholunate Instability Management: Surgical Technique
In advanced scapholunate instability, a scapholunate repair by open or arthroscopic ligamentoplasty is indicated. Although the radiographic results and functional scores are more or less satisfactory for open ligamentoplasty, it is often responsible for a decrease in joint amplitude postoperatively....
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628723001512 |
| _version_ | 1797650715547533312 |
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| author | Lorenzo Merlini, M.D. Romain Allard, M.D. Clément Prenaud, M.D. Jean-Baptiste de Villeneuve Bargemon, M.D. |
| author_facet | Lorenzo Merlini, M.D. Romain Allard, M.D. Clément Prenaud, M.D. Jean-Baptiste de Villeneuve Bargemon, M.D. |
| author_sort | Lorenzo Merlini, M.D. |
| collection | DOAJ |
| description | In advanced scapholunate instability, a scapholunate repair by open or arthroscopic ligamentoplasty is indicated. Although the radiographic results and functional scores are more or less satisfactory for open ligamentoplasty, it is often responsible for a decrease in joint amplitude postoperatively. Arthroscopic techniques are therefore of great interest, since they respect the joint capsule, but they remain technically difficult and demanding surgeries, requiring a good deal of experience in arthroscopy and using bone tunnels that are potentially a source of complications, as well as pinning to the palmar side of the wrist, which is potentially dangerous for the palmar structures of the wrist. We present a surgical technique of scapholunate ligamentoplasty under arthroscopy, focusing only on the dorsal scapholunate complex: all-dorsal arthroscopic ligamentoplasty. The advantages of all-dorsal arthroscopic ligamentoplasty are that it requires little material, does away with palmar approaches, and focuses only on the dorsal side, simplifying surgery and avoiding the creation of bone tunnels potentially at risk of fracture or avascular necrosis. |
| first_indexed | 2024-03-11T16:05:27Z |
| format | Article |
| id | doaj.art-c2d9463771a84330ababe9d4fb17a78b |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-03-11T16:05:27Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-c2d9463771a84330ababe9d4fb17a78b2023-10-25T04:16:07ZengElsevierArthroscopy Techniques2212-62872023-10-011210e1643e1648All-Dorsal Arthroscopic Ligamentoplasty (ADAL) in Scapholunate Instability Management: Surgical TechniqueLorenzo Merlini, M.D.0Romain Allard, M.D.1Clément Prenaud, M.D.2Jean-Baptiste de Villeneuve Bargemon, M.D.3International Wrist Center, Clinique Bizet, Paris, FranceInternational Wrist Center, Clinique Bizet, Paris, FranceInternational Wrist Center, Clinique Bizet, Paris, France; Department of Orthopedic Surgery, Public Assistance Hospital of Paris, Bobigny, FranceInternational Wrist Center, Clinique Bizet, Paris, France; Hand, Wrist and Elbow Surgery, Saint Roch Private Hospital, Toulon, 99 avenue Saint Roch, Toulon, France; Hand Surgery and Limb Reconstructive Surgery, Timone Adult Hospital, Aix Marseille University, Marseille, France; Address correspondence to Jean-Baptiste de Villeneuve Bargemon, 191 Boulevard Baille 13005, Marseille, France.In advanced scapholunate instability, a scapholunate repair by open or arthroscopic ligamentoplasty is indicated. Although the radiographic results and functional scores are more or less satisfactory for open ligamentoplasty, it is often responsible for a decrease in joint amplitude postoperatively. Arthroscopic techniques are therefore of great interest, since they respect the joint capsule, but they remain technically difficult and demanding surgeries, requiring a good deal of experience in arthroscopy and using bone tunnels that are potentially a source of complications, as well as pinning to the palmar side of the wrist, which is potentially dangerous for the palmar structures of the wrist. We present a surgical technique of scapholunate ligamentoplasty under arthroscopy, focusing only on the dorsal scapholunate complex: all-dorsal arthroscopic ligamentoplasty. The advantages of all-dorsal arthroscopic ligamentoplasty are that it requires little material, does away with palmar approaches, and focuses only on the dorsal side, simplifying surgery and avoiding the creation of bone tunnels potentially at risk of fracture or avascular necrosis.http://www.sciencedirect.com/science/article/pii/S2212628723001512 |
| spellingShingle | Lorenzo Merlini, M.D. Romain Allard, M.D. Clément Prenaud, M.D. Jean-Baptiste de Villeneuve Bargemon, M.D. All-Dorsal Arthroscopic Ligamentoplasty (ADAL) in Scapholunate Instability Management: Surgical Technique Arthroscopy Techniques |
| title | All-Dorsal Arthroscopic Ligamentoplasty (ADAL) in Scapholunate Instability Management: Surgical Technique |
| title_full | All-Dorsal Arthroscopic Ligamentoplasty (ADAL) in Scapholunate Instability Management: Surgical Technique |
| title_fullStr | All-Dorsal Arthroscopic Ligamentoplasty (ADAL) in Scapholunate Instability Management: Surgical Technique |
| title_full_unstemmed | All-Dorsal Arthroscopic Ligamentoplasty (ADAL) in Scapholunate Instability Management: Surgical Technique |
| title_short | All-Dorsal Arthroscopic Ligamentoplasty (ADAL) in Scapholunate Instability Management: Surgical Technique |
| title_sort | all dorsal arthroscopic ligamentoplasty adal in scapholunate instability management surgical technique |
| url | http://www.sciencedirect.com/science/article/pii/S2212628723001512 |
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