Mark Ross, Greg Couzens
Our technique involves ligament reconstruction utilising a portion of the flexor carpi radialis tendon re-routed via trans-osseous tunnels across the scaphoid, lunate and triquetrum. The tendon graft is secured with interference screw fixation into the triquetrum. The philosophy of this new technique is to clamp the lunate between the scaphoid and the triquetrum by placing a graft through the centre of the scapho-lunate articulation and then augmenting the soft tissues such as the dorsal radiocarpal ligaments. These maintain the translational relationship between the scaphoid and the triquetrum and, therefore, augment stability of the scapho-lunate articulation. This study is prospectively investigating the clinical and radiological outcomes of these new techniques.
