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
)