Arthroscopic Scapholunate Ligament Capsuloligamentous Repair

Description

This video presentation discusses a surgical procedure known as extensor indicis proprius opponensplasty for treating severe carpal tunnel syndrome, specifically in a patient described as a woman in her 60s. The patient presented with significant symptoms including thenar muscle wasting, impaired thumb motion, and challenges in grasping objects. Despite undergoing a standard carpal tunnel release, her condition required a more complex surgical intervention as outlined by Berhalter.



The technique involves harvesting the extensor indicis proprius tendon from the second finger and rerouting it to assist in thumb function. Key steps include making incisions, delivering the tendon to the appropriate insertion point on the abductor pollicis brevis, and utilizing the pulvertaft technique for tendon weaving. Following the procedure, the patient was educated on utilizing the tendon transfer effectively, and the results were closely monitored.



Berhalter's findings suggested that 87% of similar procedures led to significant functional improvement. After four months, the patient exhibited satisfactory recovery with good finger motion and was able to perform daily activities autonomously. The presentation concludes with gratitude for the audience's attention.

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