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.

Additional Metadata
Keywords modified Brunelli, Patient-Reported Outcome Measures, Scapholunate ligament reconstruction, tenodesis, three-ligament tenodesis
Persistent URL dx.doi.org/10.1177/1753193419885063, hdl.handle.net/1765/121793
Journal Journal of Hand Surgery (European Volume)
Citation
Blackburn, J. (Julia), van der Oest, M.J.W. (Mark J. W.), Poelstra, R. (Ralph), Selles, R.W, Chen, N.C. (Neal C.), & Feitz, W.F.J. (2019). Three-ligament tenodesis for chronic scapholunate injuries: short-term outcomes in 203 patients. Journal of Hand Surgery (European Volume). doi:10.1177/1753193419885063