Christian Victoria, MPH

Scapholunate dissociation is a difficult and unresolved problem in orthopedic hand surgery. Scapholunate ligament repair alone leads to failure and progression of scapholunate advanced collapse wrist in 30% of patients within 6 months. Delays in presentation, often years after injury, can dramatically increase the level of complexity and worsen prognosis. Traditionally, the treatment options for advanced arthritis have been bleak, including salvage options such as scaphoid excision and four-corner fusion or proximal row carpectomy. For mostly young and active patients, these options leave them limited in their physical and occupational demands.