Presentation on theme: "F. Quatra, O.Romeo, D. Lowenberg, D. Brooks, F. Stagno D’Alcontres,"— Presentation transcript:
1FIFTH EXTENSOR COMPARTMENT ARTERY VASCULARIZED ARTHROPLASTY FOR SCAPHOLUNATE LIGAMENT RECONSTRUCTION F. Quatra, O.Romeo, D. Lowenberg, D. Brooks, F. Stagno D’Alcontres,M. Colonna, Harry J. BunckeThe Buncke ClinicSan Francisco, CaliforniaDepartment of Plastic SurgeryUniversity of Messina, Italy
2Scope of the ProblemLesions to the scapho-lunate ligament are the most frequent cause of carpal instability and a mayor cause of disability
125th extensor compartment artery Constant vesselCaliber 0.6 mmUnder the floor of the 5th extensor compartment
13Graft (pedicled fascia flap) 2x1 cm (from roof of 5th compartment*)Pedicle = 4 cm longPivot point = 1 cm from Radiocarpal jointFixation = 2-3 transosseus sutures *** Extensor digiti minimi fascia** Mitek anchors?