Lunotriquetral Ligament Repair Using Augmented Internal Brace

Document Type : TECHNICAL NOTE

Authors

1 Rowley Bristow Orthopaedic Unit, Ashford and St. Peter’s Hospitals NHS Foundation Trust, St. Peter’s Hospital, Guildford St, Lyne, Chertsey

2 Rowley Bristow Orthopaedic Unit, Ashford and St. Peter’s Hospitals NHS Foundation Trust, Chertsey, UK

3 3 Trauma and Orthopaedic Surgery, Manchester University NHS Foundation Trust, Greater Manchester, UK 4 Department of Trauma and Orthopaedic Surgery, Suez Canal University, Egypt

4 Rowley Bristow Orthopaedic Unit, Ashford and St. Peter’s Hospitals NHS Foundation Trust, St. Peter’s Hospital, Guildford St, Lyne, Chertsey Rowley Bristow Orthopaedic Unit, Ashford and St. Peter’s Hospitals NHS Foundation Trust, St. Peter’s Hospital, Guildford St, Lyne, Chertsey

Abstract

Lunotriquetral (LT) ligament tear, usually in combination with an adjacent carpal ligament injury, can result in complete 
LT dissociation and VISI (Volarflexed Intercalated Segment Instability). Operative techniques for the management of 
instability are highly variable with many described in literature, although there is little evidence to demonstrate the 
superiority of one definitive therapeutic technique of repair and reconstruction. In this paper, we discuss our proposed 
technique for performing LT ligament repair using an augmented internal brace, which addresses triquetral extension 
and lunate flexion. The internal brace construct also provides biomechanical superiority as it includes the augmentation 
of the ligament and capsule repair. We use figures and references from our case example to demonstrate this technique.
Level of evidence: V

Keywords

References

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The Archives of Bone and Joint Surgery
Volume 10, Issue 5
May 2022
Pages 466-469

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History

  • Receive Date: 22 August 2021
  • Accept Date: 08 September 2021

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