The Journal of hand surgery, European volume · 2026
Use of modified Viegas capsuloplasty for chronic scapholunate Geissler 3C lesions: long-term follow-up on 338 patients.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Gravina Davide, Portoghese Alessandro, Maggi Benedetta, Manfredi Andrea, L Acciaro Andrea, Della Rosa Norman
Аннотация
INTRODUCTION: Chronic scapholunate Geissler grade 3C ligament injuries remain difficult to treat, with a limited consensus on long-term outcomes of joint-preserving procedures. The modified Viegas dorsal capsuloplasty has been proposed as a less invasive surgical option, but long-term data are scarce.
METHODS: This was a retrospective study of patients with arthroscopically confirmed Geissler grade 3C scapholunate ligament injuries treated with modified Viegas capsuloplasty between 2007 and 2016. Clinical and functional outcomes were assessed at long-term follow-up, including range of wrist motion, pain, functional scores and return to high-demand activities. Complications, degenerative progression and revision procedures were recorded.
RESULTS: At long-term follow-up, patients showed preserved range of wrist motion, low residual pain levels and satisfactory functional outcomes. Most patients involved in high-demand activities were able to return to their previous level of activity with minimal limitations. Complications were infrequent and consisted mainly of isolated cases of degenerative progression or the need for revision surgery.
CONCLUSION: The modified Viegas dorsal capsuloplasty provides reliable long-term clinical and functional outcomes for chronic Geissler grade 3C scapholunate ligament injuries, with a low complication rate and preservation of wrist motion. It represents a safe and effective joint-preserving surgical option in appropriately selected patients.
LEVEL OF EVIDENCE: IV.
METHODS: This was a retrospective study of patients with arthroscopically confirmed Geissler grade 3C scapholunate ligament injuries treated with modified Viegas capsuloplasty between 2007 and 2016. Clinical and functional outcomes were assessed at long-term follow-up, including range of wrist motion, pain, functional scores and return to high-demand activities. Complications, degenerative progression and revision procedures were recorded.
RESULTS: At long-term follow-up, patients showed preserved range of wrist motion, low residual pain levels and satisfactory functional outcomes. Most patients involved in high-demand activities were able to return to their previous level of activity with minimal limitations. Complications were infrequent and consisted mainly of isolated cases of degenerative progression or the need for revision surgery.
CONCLUSION: The modified Viegas dorsal capsuloplasty provides reliable long-term clinical and functional outcomes for chronic Geissler grade 3C scapholunate ligament injuries, with a low complication rate and preservation of wrist motion. It represents a safe and effective joint-preserving surgical option in appropriately selected patients.
LEVEL OF EVIDENCE: IV.