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
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
Weiss LE, Taras JS, Sweet S, Osterman AL. Lunotriquetral injuries in the athlete. Hand Clin. 2000;16(3):433-8.
Linscheid RL, Dobyns JH. The unified concept of carpal injuries. Ann Chir Main. 1984 ;3(1):35-42.
Nicoson MC, Moran SL. Diagnosis and Treatment of Acute Lunotriquetral Ligament Injuries. Hand Clin. 2015 ;31(3):467-76
Chantelot C. Post-traumatic carpal instability. Orthopaedics & Traumatology: Surgery & Research. 2014 ;100(1):S45-53.
Guidera PM, Watson HK, Dwyer TA, Orlando G, Zeppieri J, Yasuda M. Lunotriquetral arthrodesis using cancellous bone graft. The Journal of hand surgery. 2001 ;26(3):422-7.
Andersson JK, Rööser B, Karlsson J. Level of evidence in wrist ligament repair and reconstruction research: a systematic review. Journal of experimental orthopaedics. 2018 ;5(1):1-8.
Karanjia,R , Rossiter,D , Mokhtar,M A , Narvani,A A and Imam,M A . (2022). Lunotriquetral Ligament Repair Using Augmented Internal Brace. The Archives of Bone and Joint Surgery, 10(5), 466-469. doi: 10.22038/abjs.2021.59167.2944
MLA
Karanjia,R , , Rossiter,D , , Mokhtar,M A , , Narvani,A A , and Imam,M A . "Lunotriquetral Ligament Repair Using Augmented Internal Brace", The Archives of Bone and Joint Surgery, 10, 5, 2022, 466-469. doi: 10.22038/abjs.2021.59167.2944
HARVARD
Karanjia R, Rossiter D, Mokhtar M A, Narvani A A, Imam M A. (2022). 'Lunotriquetral Ligament Repair Using Augmented Internal Brace', The Archives of Bone and Joint Surgery, 10(5), pp. 466-469. doi: 10.22038/abjs.2021.59167.2944
CHICAGO
R Karanjia, D Rossiter, M A Mokhtar, A A Narvani and M A Imam, "Lunotriquetral Ligament Repair Using Augmented Internal Brace," The Archives of Bone and Joint Surgery, 10 5 (2022): 466-469, doi: 10.22038/abjs.2021.59167.2944
VANCOUVER
Karanjia R, Rossiter D, Mokhtar M A, Narvani A A, Imam M A. Lunotriquetral Ligament Repair Using Augmented Internal Brace. ABJS. 2022;10(5):466-469. doi: 10.22038/abjs.2021.59167.2944
