Arthroscopic-Assisted Scapholunate Ligament Repair

Description

In this presentation, Eric Wagner, a surgeon from Emory University, discusses the arthroscopic suture anchor-based repair of scapholunate (SL) injuries, specifically detailing indications, surgical techniques, and outcomes. He begins by outlining the indications for surgery, citing acute scapholunate injuries, such as that of a 21-year-old football player who experienced an acute rupture during a tackle, while chronic changes are deemed contraindications. Wagner emphasizes the importance of diagnostic imaging to assess gapping and confirm the injury, which leads to the decision for surgical intervention.



The technique involves using specific arthroscopic portals for access and a dry arthroscopy method to enhance visibility. He explains the importance of accurately placing anchors and sutures to repair the ligament and reinforce surrounding soft tissues through capsulodesis. Wagner provides insights into the surgical process, including the shuttling of sutures, tying down anchors, and ensuring a robust repair by incorporating additional capsular stitches.



Wagner shares the necessity of visualizing the SL interval during repair to ensure stability and proper alignment. He demonstrates how the use of k-wires aids in maintaining reduction during the procedure, and he stresses the significance of performing this type of repair on acute injuries only. The presentation concludes with the successful postoperative outcome of the patient, showing good functional recovery and minimal pain, which enables a return to high-level athletic activity.

Specialties