Carpal ligament instability · hand surgery Manchester
Scapholunate Ligament Repair & Reconstruction in Manchester
Repair or reconstruction designed to restore alignment between the scaphoid and lunate in a symptomatic unstable wrist.
Diagnosis first Confirm the targetAlternatives compared Surgery is not automaticRecovery planned Protection and rehabilitation
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Wrist proceduresScapholunate Ligament Reconstruction
What the procedure treats
A precise procedure needs a precise diagnosis.
Repair or reconstruction designed to restore alignment between the scaphoid and lunate in a symptomatic unstable wrist.
ImportantThis guide explains a general surgical pathway. The exact technique and whether it is offered in a particular clinic or hospital require confirmation with Dr. Arshad.
Common treatment targets
- Painful scapholunate instability
- Dynamic or static widening with mechanical symptoms
- Selected acute tears or chronic reducible instability
When surgery may be considered
Move from symptoms to a reasoned decision.
Surgery should have a clear target, a realistic expected benefit and a recovery plan that fits the patient.
Decision frameworkSymptoms → Examination → Tests → Options
- 01Instability remains painful and functionally limiting
- 02The wrist bones can be realigned and arthritis is limited
- 03The tear timing and tissue quality support repair or reconstruction
Alternatives and preparation
Compare what can be tried before surgery.
Some conditions need urgent repair; others allow time to compare protection, therapy, injection, observation or a different operation.
Therapy and injections for symptom control
Salvage procedures when arthritis is advanced
Bring to consultationScans · nerve tests · medication list · prior injections · therapy reports · work and sport goals
Plan your assessment ↗Inside the procedure
Scapholunate Ligament Reconstruction: the key stages.
The operative details vary, but the purpose and protection strategy should be clear before surgery.
Arthroscopy or imaging confirms the cartilage and ligament status.
The bones are realigned and the ligament repaired or reconstructed.
Temporary pins, screws or a protective cast may be used.
Anaesthetic and procedure day
A clear plan from arrival to discharge.
Local, regional or general anaesthesia may be used. Many hand procedures do not require an overnight stay, but complexity, injury and health factors can change the plan.
Before
Medication, fasting and transport instructions.
During
Anaesthesia, positioning and the agreed procedure.
After
Dressings, pain control, splinting and warning signs.
Recovery pathway
Protect healing, restore movement, then rebuild load.
These are stages, not promises of a fixed date. The surgeon and hand therapist adjust progression to the repair and response.
Longer immobilisation than simple arthroscopy
Finger motion and swelling control
Staged wrist movement
Strength and load return after healing
Recovery questions to answerWound care · swelling · splint · therapy · work · driving · gym · sport · travel
Benefits, limits and risks
Make an informed choice—not a rushed one.
The risk profile depends on the diagnosis, procedure, health and previous treatment. Dr. Arshad will discuss the risks that matter for your case.
Possible considerations
- Stiffness and reduced motion
- Persistent or recurrent instability
- Hardware irritation
- Progression to arthritis
4.96/555 verified reviewsWhy consult Dr. Arshad
Specialist hand and wrist assessment before committing to surgery.
Fellowship-trained consultant orthopaedic hand and wrist surgeon, UK specialist training, more than 17 years in orthopaedic surgery, with consultations in Manchester and across the UK, and at Healthpoint Abu Dhabi.
Confirm the diagnosisCompare surgical and non-surgical optionsPlan rehabilitation around work and function
Meet Dr. Arshad ↗Related procedure guides
Explore the same treatment family.
Related procedures may treat a different anatomical level or a different stage of the same problem.
Questions patients ask
Scapholunate Ligament Reconstruction FAQs.
General guidance only. The final procedure, hospital setting and recovery plan require individual clinical assessment.
Why might scapholunate ligament reconstruction be recommended?+
It may be discussed when the diagnosis is clear, symptoms or structural damage remain significant, and the expected benefit is greater than suitable alternatives.
What anaesthetic is used?+
Local, regional or general anaesthesia may be used depending on the procedure, patient health, preference and hospital setting. The exact plan is confirmed before surgery.
Will I go home the same day?+
Many hand and wrist procedures are performed without an overnight stay, but this is not universal. Injury complexity, anaesthetic and health factors can change the plan.
How long is recovery?+
Wound healing, tissue healing, movement, strength and nerve recovery occur on different timelines. Your procedure-specific restrictions and goals determine the plan.
Could symptoms remain after surgery?+
Yes. Longstanding nerve or joint damage, stiffness, scar sensitivity, incomplete healing or another pain source can limit recovery. Expectations should be discussed before surgery.
Patient education referenceASSH: Scapholunate Torn Ligament
View source ↗Hand surgery Manchester · UK & UK availability
Need to know whether scapholunate ligament reconstruction is right for you?
Book a specialist consultation and bring previous reports, scans, nerve tests and treatment information.