The purpose of this study is to review the clinical outcomes following hand ligament reconstruction surgery using allograft (cadaveric) knee collateral ligaments. Currently, there is no standard procedure or devices used for hand ligament reconstruction surgery, although most techniques use some form of autograft (patients' own tissue) for the reconstruction. We believe that the use of allograft ligaments in reconstruction may eliminate the pain associated with procuring the patients' own tissue for the procedure, and prove to be a viable and preferred alternative to the multiple techniques currently used. The main procedures of this study include wrist and hand ligament reconstruction surgery (for wrist scapholunate (SL) ligaments, thumb ulnar collateral ligaments (UCL), and finger proximal interphalangeal (PIP) joint collateral ligaments) using allograft ligament, and subsequent follow up appointments where measurements and questionnaires will be completed to evaluate how hand function is doing after surgery.
Age range
18 Years
Sex
ALL
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Change from baseline in functional outcome, as measured by the quick Disabilities of the Arm, Shoulder and Hand (qDASH) questionnaire
Timeframe: Baseline, post-surgery 6 week, post-surgery 6 month, post-surgery 1 year
Change from baseline in pain, as measured by the Visual Analog Scale (VAS)
Timeframe: Baseline, post-surgery 6 week, post-surgery 6 month, post-surgery 1 year
Change from baseline in key pinch strength, as measured with a pinch gauge.
Timeframe: Baseline, post-surgery 6 week, post-surgery 6 month, post-surgery 1 year
Change from baseline in grip strength, as measured with a Jamar hand dynamometer.
Timeframe: Baseline, post-surgery 6 week, post-surgery 6 month, post-surgery 1 year
Change from baseline in wrist and finger range of motion angles.
Timeframe: Baseline, post-surgery 6 week, post-surgery 6 month, post-surgery 1 year
Change from baseline in wrist and finger radiographs.
Timeframe: Baseline, post-surgery 6 week, post-surgery 6 month, post-surgery 1 year