In severe injuries, minimal tissue may be available for a primary repair, and in these cases the soft tissue reconstruction may need to be reinforced with a capsulodesis or other technique in addition to limited repair of the native ligament.
Outcomes of dorsal capsulodesis and tenodesis for treatment of scapholunate instability.
and puleey advancement for the correction of claw finger deformity.
Lavernia CJ et al treated scapholunate dissociation by ligamentous repair and capsulodesis (3).
If the condition becomes chronic reconstructive procedures like dorsal capsulodesis, tendon weaves using free tendon grafts, scapholunate arthrodesis and bone ligament bone autografs have to be performed.
Chapters have been revised and updated, and illustrations have been expanded for this edition, which integrates new subjects such as arthroscopic-assisted limited open reduction of the radius, distal radius osteotomy, percutaneous fixation of the scaphoid, dorsal intercarpal ligament capsulodesis
, and four-corner arhtrodesis with headless screws.
We and others believe that strong SLIL repair is key to a successful outcome.21Also, in addition to attempted repair of the SLIL, most surgeons perform an additional dorsal capsulodesis
, for which there are different techniques, such as a Blatt, Szabo, and Berger-type dorsal capsulodeses.
A pulley advancement or Srinavasan's extensor diversion would be preferred static techniques, as they have less likelihood of recurrence of deformity than a metacarpophalangeal (MCP) joint capsulodesis. (8-12) When performing tendon transfers, the surgeon should consider the type of hand and the severity of impairments and choose the most appropriate procedure, rather than performing the same procedure for all patients.
Capsulodesis and pulley advancement for correction of claw-finger deformity.
If hyperextension is greater than 30[degrees], options include MCP joint fusion or volar plate capsulodesis.48 Arthrodesis is recommended in arthritic joints, UCL instability, or joints with little passive motion.
Thumb metacarpophalangeal capsulodesis: An adjunct procedure to basal joint arthroplasty for collapse deformity of the first ray.
When hyperextension is greater than 30[degrees], arthrodesis or volar capsulodesis
may be performed.