Die gängigen Verfahren zur sekundären Rekonstruktion des skapholunären (SL) Bandes erzielen eine Schmerzreduktion und Sicherung des Repositionsergebnisses meist nur auf Kosten der Beweglichkeit und Kraft. Dahingegenscheint die SLAM- (scapholunate axis method) Technik eine Stabilisierung von Skaphoid und Lunatum ohne Verlust an Beweglichkeit zu erlauben. Wir haben die Technik durch zusätzliche Fixierung eines Endes des Sehnentransplantates am Kapitatum modifiziert, hoffend dass so eine Palmarkippung des Skaphoids noch besser verhindert wird. Die Studie hatte zum Ziel, ob mittels der modifizierten SLAM-Technik eine Stabilisierung von Skaphoid und Lunatum sowie Schmerzreduktion möglich ist, ohne dass es zu einem Verlust an Beweglichkeit und Kraft kommt.

Injury to the scapholunate (SL) ligament represents a common trauma of the wrist but is frequently misdiag-nosed because of non-specific pain. Established methods for SL reconstruction mainly focus on reducing pain and maintaining the reposition result at the expense of mobility and strength. This study aimed at restoring stability and reducing pain while simultaneously maintaining mobility and strength using the scapholunate axis method (SLAM). Patients with an SL ligament lesion under-went SLAM reconstruction. Hand functions using DASH, Mayo Wrist Score, range of motion, pain (at rest and weight-bearing) and grip strength were assessed prior and 12 months postoperative. Additionally SL angle was collected pre- and postoperative.Each of the patients improved significantly postoperative in DASH and Mayo Wrist Score with regard to pain at rest and under weight-bearing. Additionally, grip strength could be improved. In contrast, range of motion and SL angle did not change essentially. The secondary SL ligament reconstruction technique SLAM shows promising results. Pain was significantly relieved and grip strength was significantly increased. Additionally, DASH and Mayo Wrist Score could be significantly improved. However, SL angle and range of motion could not be improved in every patient and plane.