Document Detail


Motion-preserving procedures in the treatment of scapholunate advanced collapse wrist: proximal row carpectomy versus four-corner arthrodesis.
MedLine Citation:
PMID:  8583069     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Seventeen patients were treated with scaphoid excision and four-corner arthrodesis (lunate, capitate, hamate, triquetrum) for scapholunate advanced collapse wrist and followed for a mean of 27 months. Eleven wrists in 10 patients had a proximal row carpectomy for scapholunate advanced collapse wrist and were followed for a mean of 37 months. The total arc of motion averaged 95 degrees in the four-corner arthrodesis patients and 115 degrees in the proximal row carpectomy patients, which was 47% and 64%, respectively, of the range of motion of the opposite wrist. Grip strength averaged 74% of the opposite wrist in the four-corner arthrodesis group and 94% in the proximal row carpectomy group. Three wrists in the four-corner arthrodesis group failed and were successfully converted to a total wrist fusion; two additional patients were awaiting arthrodesis. There were no failures in the proximal row carpectomy group. Proximal row carpectomy showed a high degree of patient satisfaction and is our motion-preserving procedure of choice except in those wrists with advanced capitolunate arthritis.
Authors:
J D Wyrick; P J Stern; T R Kiefhaber
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  20     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1995 Nov 
Date Detail:
Created Date:  1996-03-21     Completed Date:  1996-03-21     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  965-70     Citation Subset:  IM    
Affiliation:
Cincinnati Hand Surgery Consultants, OH 45206, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthrodesis / methods*
Carpal Bones / radiography,  surgery*
Female
Follow-Up Studies
Hand Strength / physiology
Humans
Lunate Bone / radiography,  surgery*
Male
Middle Aged
Osteoarthritis / radiography,  surgery*
Postoperative Complications / physiopathology,  radiography
Range of Motion, Articular / physiology
Wrist Joint / radiography,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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