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[Functional outcome after midcarpal arthrodesis in the treatment of advanced carpal collapse (SNAC-/SLAC-wrist)].
Handchir Mikrochir Plast Chir. 2005 Apr; 37(2):119-25.HM

Abstract

PURPOSE

The purpose of this retrospective study was the evaluation of the functional outcome of midcarpal arthrodesis, its results in the treatment of SNAC/SLAC stage II and III and patients' satisfaction.

METHODS

49 patients that were treated with a midcarpal arthrodesis were re-examined at a mean follow-up time of 47 months. Range of motion was verified and grip strength was measured with a Jamar-Dynamometer II and a pinch-grip. Pain was evaluated by a visual analogue scale (VAS 0 to 100) for stress and under resting conditions. Patients' daily activities and general quality of life were estimated with the DASH questionnaire. Radiographic evaluation was done by conventional X-ray.

RESULTS

Active range of motion was 56 % and grip strength was 76 % of the non-operated wrist. The DASH score was 29 points. Pain relief was 34 % during resting conditions and 31 % after stress respectively. 45 patients demonstrated bony consolidation in X-ray control. Six patients needed further treatment with a total arthrodesis because of pain or absence of bony consolidation. 77 % of the patients returned to their original occupation and 80 % were satisfied with the final result.

CONCLUSION

Our data demonstrate that midcarpal fusion is a reliable procedure for treating the difficult condition of advanced carpal collapse if proper realignment of the carpus is performed.

Authors+Show Affiliations

Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Berufsgenossenschaftliche Unfallklinik Ludwigshafen, Plastische und Handchirurgie der Universität Heidelberg, Ludwigshafen. dacho@web.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

ger

PubMed ID

15877273

Citation

Dacho, A, et al. "[Functional Outcome After Midcarpal Arthrodesis in the Treatment of Advanced Carpal Collapse (SNAC-/SLAC-wrist)]." Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V..., vol. 37, no. 2, 2005, pp. 119-25.
Dacho A, Grundel J, Harth A, et al. [Functional outcome after midcarpal arthrodesis in the treatment of advanced carpal collapse (SNAC-/SLAC-wrist)]. Handchir Mikrochir Plast Chir. 2005;37(2):119-25.
Dacho, A., Grundel, J., Harth, A., Germann, G., & Sauerbier, M. (2005). [Functional outcome after midcarpal arthrodesis in the treatment of advanced carpal collapse (SNAC-/SLAC-wrist)]. Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V..., 37(2), 119-25.
Dacho A, et al. [Functional Outcome After Midcarpal Arthrodesis in the Treatment of Advanced Carpal Collapse (SNAC-/SLAC-wrist)]. Handchir Mikrochir Plast Chir. 2005;37(2):119-25. PubMed PMID: 15877273.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Functional outcome after midcarpal arthrodesis in the treatment of advanced carpal collapse (SNAC-/SLAC-wrist)]. AU - Dacho,A, AU - Grundel,J, AU - Harth,A, AU - Germann,G, AU - Sauerbier,M, PY - 2005/5/7/pubmed PY - 2005/9/15/medline PY - 2005/5/7/entrez SP - 119 EP - 25 JF - Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V... JO - Handchir Mikrochir Plast Chir VL - 37 IS - 2 N2 - PURPOSE: The purpose of this retrospective study was the evaluation of the functional outcome of midcarpal arthrodesis, its results in the treatment of SNAC/SLAC stage II and III and patients' satisfaction. METHODS: 49 patients that were treated with a midcarpal arthrodesis were re-examined at a mean follow-up time of 47 months. Range of motion was verified and grip strength was measured with a Jamar-Dynamometer II and a pinch-grip. Pain was evaluated by a visual analogue scale (VAS 0 to 100) for stress and under resting conditions. Patients' daily activities and general quality of life were estimated with the DASH questionnaire. Radiographic evaluation was done by conventional X-ray. RESULTS: Active range of motion was 56 % and grip strength was 76 % of the non-operated wrist. The DASH score was 29 points. Pain relief was 34 % during resting conditions and 31 % after stress respectively. 45 patients demonstrated bony consolidation in X-ray control. Six patients needed further treatment with a total arthrodesis because of pain or absence of bony consolidation. 77 % of the patients returned to their original occupation and 80 % were satisfied with the final result. CONCLUSION: Our data demonstrate that midcarpal fusion is a reliable procedure for treating the difficult condition of advanced carpal collapse if proper realignment of the carpus is performed. SN - 0722-1819 UR - https://www.unboundmedicine.com/medline/citation/15877273/[Functional_outcome_after_midcarpal_arthrodesis_in_the_treatment_of_advanced_carpal_collapse__SNAC_/SLAC_wrist_]_ L2 - https://www.thieme-connect.com/DOI/DOI?10.1055/s-2004-821287 DB - PRIME DP - Unbound Medicine ER -