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Arthroscopic interposition in Slac 2 with wide styloidectomy, WADC and PLA

Epublication WebSurg.com, May 2012;12(05). URL: http://websurg.com/doi/lt03enmathoulin005

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  • 2012-05-14
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In late chronic scapholunate ligament dissociation, when the arthritis appeared (Slac 2-Slac 3), treatment often involves heavy palliative techniques such as resection of the first row or four bones fusion. We propose a simpler technique of arthroscopic interposition of a polylactide implant (PLA) or palmaris longus tendon, combined with a wide styloidectomy of scaphoid fossa of distal radius and a dorsal capsuloligamentous repair to stabilize the scapholunate dissociation.