Brunelli

Brunelli Procedure is a surgical operation used to treat Scapholunate Advanced Collapse (SLAC), a condition that affects the wrist. The procedure was developed by Dr. Bruno Brunelli, an Italian surgeon, and is also known as the Brunelli Procedure or Brunelli Wrist Reconstruction.

Overview

The Brunelli Procedure is a type of wrist surgery that involves the reconstruction of the scapholunate ligament, a ligament in the wrist that connects the scaphoid bone and the lunate bone. This ligament can be damaged due to injury or disease, leading to SLAC. The Brunelli Procedure is used when other treatments, such as physical therapy or medication, have not been successful.

Procedure

During the Brunelli Procedure, the surgeon makes an incision in the wrist and removes the damaged scapholunate ligament. The flexor carpi radialis tendon is then used to replace the ligament. The tendon is threaded through the scaphoid and lunate bones and secured with sutures. This helps to stabilize the wrist and prevent further damage.

Recovery

After the Brunelli Procedure, patients typically wear a cast or splint for several weeks to allow the wrist to heal. Physical therapy is often recommended to help regain strength and mobility in the wrist. Most patients are able to return to their normal activities within a few months.

Risks and Complications

As with any surgery, the Brunelli Procedure carries some risks. These may include infection, bleeding, nerve damage, and complications from anesthesia. There is also a risk that the surgery may not fully correct the problem, and further treatment may be needed.

See Also

• Scapholunate Advanced Collapse
• Wrist Surgery
• Scaphoid Bone
• Lunate Bone

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