Dissemin is shutting down on January 1st, 2025

Published in

SAGE Publications, Journal of Hand Surgery (European Volume), 4(45), p. 383-388, 2019

DOI: 10.1177/1753193419885063

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Three-ligament tenodesis for chronic scapholunate injuries: short-term outcomes in 203 patients.

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

In this cohort study, we report on short-term outcomes of 203 patients (203 wrists) who underwent scapholunate ligament reconstruction using a three-ligament tenodesis technique between December 2013 and December 2017. Patients completed the Patient Rated Wrist Evaluation questionnaire and a visual analogue scale for pain online before surgery and at 3 months and 1 year after surgery. We also measured the range of movement before surgery, in 150 patients 3 months after surgery, and in 90 patients 1 year after surgery. The patients reported clinically significant improvements in both pain and function postoperatively, with continuing improvement at both 3 and 12 months. We conclude that the short-term outcomes of this procedure are generally good in term of patients’ function, satisfaction, and pain relief, but about 20% of the operated wrists did not improve. Our data may help patients and surgeons in joint decision-making regarding treatment for chronic scapholunate injuries. Level of evidence: III