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Degenerative arthritis of the wrist: proximal row carpectomy versus scaphoid excision and four-corner arthrodesis.
J Hand Surg Am. 2001 Jan; 26(1):94-104.JH

Abstract

Two cohort populations of 19 patients from separate institutions performing exclusively either a scaphoid excision and 4-corner arthrodesis (lunate, capitate, hamate, and triquetrum) or proximal row carpectomy (PRC) for scapholunate advanced collapse arthritis were compared. There were no preoperative differences with respect to age, gender, dominance, stage of arthritis, or preoperative measures of pain and function. The length of the follow-up period averaged 28 months for the 4-corner arthrodesis group compared with 19 months for the PRC patients. At the follow-up examination wrist motion revealed no significant differences in the flexion-extension arc, averaging 81 degrees in the PRC patients and 80 degrees following 4-corner arthrodesis, which was 62% and 58%, respectively, of the opposite wrist. The 4-corner arthrodesis patients maintained greater radial deviation and total percent radial-ulnar deviation of the wrist. Grip strength averaged 71% for the PRC group compared with 79% for the 4-corner arthrodesis patients. Pain relief was similar using a variety of measures and patient satisfaction was equivalent. Function was similar except that the 4-corner arthrodesis patients scored significantly higher on the mental health component of the short form-36 health status survey. No differences were seen on the physical health component or an outcome scale specifically designed for the wrist. Both PRC and scaphoid excision and 4-corner arthrodesis are motion-preserving options for the treatment of scapholunate advanced collapse arthritis with minimal subjective or objective differences in short-term follow-up evaluations.

Authors+Show Affiliations

Hand and Elbow Program, the Department of Orthopaedic Surgery, Rush-Presbyterian-St Luke's Medical Center, Chicago, IL 60612, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11172374

Citation

Cohen, M S., and S H. Kozin. "Degenerative Arthritis of the Wrist: Proximal Row Carpectomy Versus Scaphoid Excision and Four-corner Arthrodesis." The Journal of Hand Surgery, vol. 26, no. 1, 2001, pp. 94-104.
Cohen MS, Kozin SH. Degenerative arthritis of the wrist: proximal row carpectomy versus scaphoid excision and four-corner arthrodesis. J Hand Surg Am. 2001;26(1):94-104.
Cohen, M. S., & Kozin, S. H. (2001). Degenerative arthritis of the wrist: proximal row carpectomy versus scaphoid excision and four-corner arthrodesis. The Journal of Hand Surgery, 26(1), 94-104.
Cohen MS, Kozin SH. Degenerative Arthritis of the Wrist: Proximal Row Carpectomy Versus Scaphoid Excision and Four-corner Arthrodesis. J Hand Surg Am. 2001;26(1):94-104. PubMed PMID: 11172374.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Degenerative arthritis of the wrist: proximal row carpectomy versus scaphoid excision and four-corner arthrodesis. AU - Cohen,M S, AU - Kozin,S H, PY - 2001/2/15/pubmed PY - 2001/7/6/medline PY - 2001/2/15/entrez SP - 94 EP - 104 JF - The Journal of hand surgery JO - J Hand Surg Am VL - 26 IS - 1 N2 - Two cohort populations of 19 patients from separate institutions performing exclusively either a scaphoid excision and 4-corner arthrodesis (lunate, capitate, hamate, and triquetrum) or proximal row carpectomy (PRC) for scapholunate advanced collapse arthritis were compared. There were no preoperative differences with respect to age, gender, dominance, stage of arthritis, or preoperative measures of pain and function. The length of the follow-up period averaged 28 months for the 4-corner arthrodesis group compared with 19 months for the PRC patients. At the follow-up examination wrist motion revealed no significant differences in the flexion-extension arc, averaging 81 degrees in the PRC patients and 80 degrees following 4-corner arthrodesis, which was 62% and 58%, respectively, of the opposite wrist. The 4-corner arthrodesis patients maintained greater radial deviation and total percent radial-ulnar deviation of the wrist. Grip strength averaged 71% for the PRC group compared with 79% for the 4-corner arthrodesis patients. Pain relief was similar using a variety of measures and patient satisfaction was equivalent. Function was similar except that the 4-corner arthrodesis patients scored significantly higher on the mental health component of the short form-36 health status survey. No differences were seen on the physical health component or an outcome scale specifically designed for the wrist. Both PRC and scaphoid excision and 4-corner arthrodesis are motion-preserving options for the treatment of scapholunate advanced collapse arthritis with minimal subjective or objective differences in short-term follow-up evaluations. SN - 0363-5023 UR - https://www.unboundmedicine.com/medline/citation/11172374/Degenerative_arthritis_of_the_wrist:_proximal_row_carpectomy_versus_scaphoid_excision_and_four_corner_arthrodesis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0363-5023(01)91031-7 DB - PRIME DP - Unbound Medicine ER -