Fig. 19.

( A ) View from the 6R portal of the avulsed radioscaphocapitate ligament. The knot pusher is introduced from the 3/4 portal. It is advanced inside the VR portal and loaded with the threads of the second anchor ( B ) The threads are retrieved to the 3/4 portal. ( C and D ) The Abbocath pierces the ulnar side of the radioscaphocapitate ligament and taken to the 3/4 portal, where it is loaded with the first thread of this implant. The loop and thread are recovered to the VR portal. The first limb of the “U” suture of the second anchor is completed, capturing the ulnar portion of the detached ligament. ( E and F ) The Abbocath pierces the radial part of the ligament and the same procedure is performed to complete the second limb of the “U” suture. ( G ) The four threads are knotted outside of the joint, reattaching the radioscaphocapitate ligament and long radiolunate ligament to the radius. ( H ) X- Ray shows the radial position of the anchors.