Reduction and association of the scaphoid and lunate procedure: short-term clinical and radiographic outcomes.

@article{Larson2014ReductionAA,
  title={Reduction and association of the scaphoid and lunate procedure: short-term clinical and radiographic outcomes.},
  author={Timothy B Larson and Peter J. Stern},
  journal={The Journal of hand surgery},
  year={2014},
  volume={39 11},
  pages={
          2168-74
        }
}
PURPOSE To evaluate the success of reduction and association of the scaphoid and lunate with a fibrous union in an effort to evaluate the technique's validity and reproducibility. METHODS A retrospective review was performed on 7 patients (8 wrists) with an average follow-up of 38 months. Static and grip radiographs were examined in the preoperative, immediate postoperative, and final follow-up settings to evaluate scapholunate (SL) diastasis, SL angle, hardware position, and complications… Expand
Reduction and Association of the Scaphoid and Lunate: A Functional and Radiographical Outcome Study
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The RASL procedure can improve SL widening but has a high rate of early failure and reoperation, and long‐term follow-up demonstrates reasonable long-term durability in some cases. Expand
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Evidence is provided that performing an effective first-stage scapholunate fusion is recommended to achieve better therapeutic outcomes for a chronic lunate dislocation, and this approach led to a good long-term clinical outcome in this case. Expand
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The lateral aspect of the dorsal ridge is a reliable radiographic landmark on the scaphoid and provides surgeons with a convenient starting point to achieve the most biomechanically stable RASL construct, and, therefore, enhances the potential for an optimal clinical outcome. Expand
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TLDR
A modified minimally invasive dynamic extensor carpi radialis longus tenodesis is described, which is characterized by a smaller approach and application of a cannulated screw and washer for tendon fixation to be more patient friendly without harming feasibility of future salvage options. Expand
Reduction and association of the scaphoid and lunate procedure: short-term outcomes.
  • W. Cooney
  • Medicine
  • The Journal of hand surgery
  • 2015
TLDR
Second, in this patient population, restoring even a modicum of metacarpophalangeal joint flexion will help to counter the significant clawing that will compromise overall hand function. Expand
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