Scapholunate ligament repair and capsulodesis for the treatment of static scapholunate dissociation

Twenty-four patients were treated with scapholunate ligament repair and dorsal capsulodesis for scalpholunate dissociation. Seventeen patients were available for follow-up at an average of 30 months, The average interval between injury and surgery. was 3 months, At final follow-up, no patients were pain-free. Average total wrist motion was 60% and grip strength 70% of the opposite normal side. The average preoperative scapholunate angle was 78 degrees and was corrected to a normal 47 degrees at surgery, The average final scapholunate tangle was 72 degrees, which was not significantly different from the preoperative value. The scapholunate gap likewise was not: significantly changed postoperatively, Only two patients had an excellent or good outcome using a clinical grading system, and six out of 17 scored good or excellent using a radiographic grading system, in conclusion, repair of the scapholunate ligament with dorsal capsulodesis failed to provide consistent pain relief and maintain carpal alignment in patients with static scapholunate instability.