Evaluation of the performance of three tenodesis techniques for the treatment of scapholunate instability: flexion-extension and radial-ulnar deviation.
Chronic scapholunate ligament (SL) injuries are difficult to treat and can lead to wrist dysfunction. Whilst several tendon reconstruction techniques have been employed in the management of SL instability, SL gap reappearance after surgery has been reported. Using a finite element model and cadaveri...
| Published in: | Medical & Biological Engineering & Computing Vol. 56; no. 6; pp. 1091 - 1106 |
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| Main Authors: | , , , , , , |
| Format: | pictorial research tables/charts Journal Article |
| Published: |
Springer Nature
Jun2018
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129738994&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129738994 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01400118 PO0 jtl: Medical & Biological Engineering & Computing issn: 01400118 maglogo: N pubinfo: dt: Jun2018 vid: 56 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 129738994 129738994 NLM29178063 129738994 10.1007/s11517-017-1748-1 NLM29178063 129738994 ppf: 1091 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Evaluation of the performance of three tenodesis techniques for the treatment of scapholunate instability: flexion-extension and radial-ulnar deviation. aug: au: Alonso-Rasgado, Teresa Zhang, Qing-Hang Jimenez-Cruz, David Bailey, Colin Pinder, Elizabeth Mandaleson, Avanthi Talwalkar, Sumedh affil: Bioengineering Research Group, School of Materials, University of Manchester, M13 9PL, Manchester, UK sug: subj: Carpal Bones Physiopathology Tenodesis Methods Tendons Surgery Carpal Bones Surgery Tendons Physiopathology Finite Element Analysis Range of Motion Physiology Imaging, Three-Dimensional Female Middle Age Middle Aged: 45-64 years Female ab: Chronic scapholunate ligament (SL) injuries are difficult to treat and can lead to wrist dysfunction. Whilst several tendon reconstruction techniques have been employed in the management of SL instability, SL gap reappearance after surgery has been reported. Using a finite element model and cadaveric study data, we investigated the performance of the Corella, scapholunate axis (SLAM) and modified Brunelli tenodesis (MBT) techniques. Scapholunate dorsal and volar gap and angle were obtained following virtual surgery undertaken using each of the three reconstruction methods with the wrist positioned in flexion, extension, ulnar deviation and radial deviation, in addition to the ulnar-deviated clenched fist and neutral positions. From the study, it was found that, following simulated scapholunate interosseous ligament rupture, the Corella technique was better able to restore the SL gap and angle close to the intact ligament for all wrist positions investigated, followed by SLAM and MBT. The results suggest that for the tendon reconstruction techniques, the use of multiple junction points between scaphoid and lunate may be of benefit. Graphical abstract The use of multiple junction points between scaphoid and lunate may be of benefit for tendon reconstruction techniques. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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