InternalBrace for Intercarpal Ligament Reconstruction

Brian W Starr; Kevin C Chung

doi:10.1016/j.hcl.2023.02.008

InternalBrace for Intercarpal Ligament Reconstruction

Hand Clin. 2023 Aug;39(3):379-388. doi: 10.1016/j.hcl.2023.02.008.

Authors

Brian W Starr¹, Kevin C Chung²

Affiliations

¹ Section of Plastic Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 2020, Cincinnati, OH 45229, USA; University of Cincinnati College of Medicine, 3230 Eden Avenue Cincinnati, OH 45267, USA. Electronic address: brian.starr@cchmc.org.
² Section of Plastic Surgery, The University of Michigan Health System, 1500 East Medical Center Drive, 2130 Taubman Center, SPC 5340, Ann Arbor, MI 48109-5340, USA.

PMID: 37453765
DOI: 10.1016/j.hcl.2023.02.008

Abstract

Scapholunate and lunotriquetral instability are common causes of chronic, debilitating wrist pain and functional impairment. In the setting of subacute or chronic injuries with predynamic or dynamic instability, the ideal surgical approach remains unclear. In January 2020 the authors started enrolling patients with predynamic and dynamic instability in an Institutional Review Board-approved prospective study, aimed at meticulously studying outcomes using the all-dorsal InternalBrace reconstruction technique. The all-dorsal technique described herein is straightforward, efficient, and easy to learn, with early outcomes equivalent or superior to those of other techniques.

Keywords: DISI; Intercarpal ligament; Lunotriquetral; Scapholunate.

Publication types

Review

MeSH terms

Humans
Joint Instability*
Ligaments, Articular / injuries
Lunate Bone* / injuries
Lunate Bone* / surgery
Prospective Studies
Wrist Joint / surgery