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A-1068 Scapholunate ligament reconstruction. One year follow-up using the SLAM procedure in 22 patients.
Lars Soelberg Vadstrup, Gentofte Hospital, Copenhagen, Denmark
Thursday, June 14, 2018 · 3:53 p.m. · 07m 38s
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good afternoon he collects difference i'd like to thank the scientific committee for
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the opportunity to present our one year is all concerning scully nate
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reconstruction using the yes land method a buyout rex no conflicts of interest
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uh we started using the slam procedure in two thousand and thirteen
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from two thousand and fourteen to seventeen all patients with the dynamic
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or static read usable installation was treated with this procedure
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two women and twenty men with the mean age of forty to us was included in the study
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average time from injury to reconstruction was a number it's eleven month
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uh without seven patients with a static read usable uh s. l. d. and fifteen but dynamic lesion
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introducing a treatment letter a um
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if clinical examination gives a suspicion of fan desolation
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our treatment let's start with the radio crap including planned space use of both hands
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this is true the root out uh after arthritis in the reading too
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next level is after skippy where final identification of the insulation it's done
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in the scuffle if the scaffold is read usable than normal
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cartilage seen ligament reconstruction was performed in the same session
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for a quick introduction to my use of the slant procedure
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small incision is made at the proximal all night aspect
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of the loon eight and as separate three centimetre long regional incision is
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made of the and that's a mic snuff box to facilitate
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replacement of this evening so no need for lots also approach
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two while so uses supplies the s. l. region doing this procedure
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after drilling over the primary why a tendon autographed often repeal tendon
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is threaded through an anchor and introduced to the late night
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the secondary wire is left in place for six weeks
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attendance ah fixed uh with an interference screw to discuss
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point uh x. excess tendon is cut away
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second there why it's always shortened on the skin level rehabilitation shoreham cost the
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three six weeks removal of uh the remaining why at six weeks
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active rate of a motion and the the the patients start
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weight bearing at twelve weeks no restriction after six months
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onto the results to major compared come complications the
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one page and treated with a new slam procedure and did well after one year follow up
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the other one is operated paul corner the fusion and he's thinking
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about that one minor complication with no further need for intervention
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uh i want you follow up visions last i mean opted to twelve
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degrees of wrist flexion and ten degrees off with reese to extension
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greg uh in wilcox and rank test which use that's that are is data
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is not normal distribute it we saw no chains in grip strength
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as patients experience to rise to the preemptive as strings twelve months after surgery
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we're looking at pains call from zero to five was or significant improvement
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after twelve months i dropped from four to two and a half
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the quick bass scroll improved significantly from an hour korea up at
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forty two twenty one year after surgery so in conclusion
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the minimal in the city slang for c. to provide satisfactory results with this young complications
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minimal loss of wrist flexion and extension grip strength that twelve month equal productive status
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and finally we observed significantly improved patient reported out
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come mess it's at twelve month thank you
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ha ha presentation thank you and then uh questions from the floor there
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huh
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thanks a lot for this presentation like question did you see some
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remaining gap between us 'cause we didn't make this right
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after after surgery and stuff uh yeah uh normally after
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after three month or a especially after six months
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uh the the close the closing of the gap reduces so it
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gets a bit lax as you see after i personally
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uh all the same so uh one or two millimetres uh bought the
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no change in the in the in the problems i think so
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uh_huh
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did you notice any difference when using upon those long goes or uh uh it's just
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weep that's a good question uh it's a it's a no no i didn't
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uh but we only use the u. b. s. c. on ten than twice so
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but it's it's a bit of the operation and uh is
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more difficult the repeal tendons is a very verbal
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i have just one question uh uh uh how try the technique in cadaver
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and uh noticed that is very easy to cut through the meat corporate joint with the rebate
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because the uh if you have a checking the k. y.
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position in a c. r. and the most ah curved
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so the it into the k. where it might be just very parallel to
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the joint service and then when you drew it goes through the johnson
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you haven't noticed that problem uh yeah there is a a quite a steep learning curve
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and uh you need to address the they're real aspect of the scuffle it
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very commonly and then go well there can go totally to the into the loo made
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there but not to totally no you you wanna you wanna end up in the
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middle on it or trouble a part of the little right with the with the bullet
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anchor and is this your method of choice now yeah but it's like you
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when you go to couple the this uh i believe and stuff big
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yeah but after three or six moments it's a a four
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each school board uses the only for the stick to
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instantly and i believe it's fall the cases
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i think you know
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uh_huh
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he he does that mean that it's more you know
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nowhere after after the operation the forgot disclosed uh and then then afterwards you
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you you lose one or two millimetres at three o. six months follow
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