FOUR-CORNER BONE ARTHRODESIS WITH DORSAL RECTANGULAR PLATE: SERIES AND PERSONAL TECHNIQUE

被引:21
作者
Espinoza, D. P. [1 ]
Schertenleib, P. [1 ]
机构
[1] CHU Vaudois, Serv Chirurg Plast, Plast & Hand Surg Dept, Reseau Sante Valais Sion & Plast Surg Dept, CH-1011 Lausanne, Switzerland
关键词
SNAC wrist; SLAC wrist; four-corner arthrodesis; 4CA; partial wrist arthrodesis; WRIST ARTHRODESIS; 4-BONE FUSION; INTERCARPAL; FIXATION; COMPLICATIONS; EXCISION;
D O I
10.1177/1753193409105684
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Controversy exists about the best method to achieve bone fusion in four-corner arthrodesis. Thirty-five patients who underwent this procedure by our technique were included in the study. Surgical indications were stage II-III SLAC wrist, stage II SNAC wrist and severe traumatic midcarpal joint injury. Mean follow-up was 4.6 years. Mean active flexion and extension were 34 degrees and 30 degrees respectively; grip strength recovery was 79%. Radiological consolidation was achieved in all cases. The mean DASH score was 23 and the postoperative pain improvement by visual analogue scale was statistically significant. Return to work was possible at 4 months for the average patient. Complications were a capitate fracture in one patient and the need for hardware removal in four cases. Four-corner bone wrist arthrodesis by dorsal rectangular plating achieves an acceptable preservation of range of motion with good pain relief, an excellent consolidation rate and minimal complications.
引用
收藏
页码:609 / 613
页数:5
相关论文
共 30 条
[1]   SCAPHOLUNATE ADVANCED COLLAPSE WRIST SALVAGE [J].
ASHMEAD, D ;
WATSON, HK ;
DAMON, C ;
HERBER, S ;
PALY, W .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1994, 19A (05) :741-750
[2]  
Berger R A, 1997, Tech Hand Up Extrem Surg, V1, P2, DOI 10.1097/00130911-199703000-00002
[3]   A prospective outcomes study of four-corner wrist arthrodesis using a circular limited wrist fusion plate for stage II scapholunate advanced collapse wrist deformity [J].
Chung, Kevin C. ;
Watt, Andrew J. ;
Kotsis, Sandra V. .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2006, 118 (02) :433-442
[4]  
COHEN M, 2003, HAND SURG, P1309
[5]   Degenerative arthritis of the wrist: Proximal row carpectomy versus scaphoid excision and four-corner arthrodesis [J].
Cohen, MS ;
Kozin, SH .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2001, 26A (01) :94-104
[6]  
Dacho A, 2005, Handchir Mikrochir Plast Chir, V37, P119, DOI 10.1055/s-2004-821287
[7]   Long-term results of midcarpal arthrodesis in the treatment of scaphoid nonunion advanced collapse (SNAC-wrist) and scapholunate advanced collapse (SLAC-wrist) [J].
Dacho, A ;
Grundel, J ;
Holle, G ;
Germann, G ;
Sauerbier, M .
ANNALS OF PLASTIC SURGERY, 2006, 56 (02) :139-144
[8]  
De Smet Luc, 2006, Acta Orthop Belg, V72, P535
[9]  
Dubert T, 2001, Chir Main, V20, P294, DOI 10.1016/S1297-3203(01)00049-X
[10]   Scaphold excision with four-corner fusion [J].
Enna, M ;
Hoepfner, P ;
Weiss, APC .
HAND CLINICS, 2005, 21 (04) :531-+