Scapholunate Ligament: Comparing the Native Strength of the Ligament to an All-suture Anchor Construct


Our aim was to compare the tensile strength of the native scapholunate ligament (SLL) with that of an all-suture anchor construct in a cadaveric model. The scaphoid and lunate were isolated, preserving all segments of the SLL. Using a servohydraulic testing machine, we increased the load until peak load-to-failure of the native SLL was reached in nine specimens (mean ± standard deviation, 273 ± 132 N). Using the same specimens, two JuggerKnot 1.4-mm suture anchors (Zimmer Biomet) were placed into the lunate and tensioned through transosseous tunnels in the scaphoid. Sutures were tied over the radial nonarticular aspect of the scaphoid. Load-to-failure testing was repeated. The mean peak load-to-failure for the all-suture anchor constructs was 172 ± 59 N versus 231 ± 117 N for the native group (p = 0.157). This represents approximately 75% of the native ligament strength. (Journal of Surgical Orthopaedic Advances 29(3):169–172, 2020) Key words: all-suture anchor construct, scapholunate ligament injury, scapholunate ligament reconstruction, scapholunate ligament strength

Laura W. Lewallen, MD; Carson F. Woodbury, MPhil; Adam Margalit, MD; Hannah C. Langdell, MD; Stephen M. Belkoff , PhD; and John V. Ingari, MD