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Salvage procedures for degenerative osteoarthritis of the wrist due to advanced carpal collapse.
Acta Orthop Belg. 2006 Oct; 72(5):535-40.AO

Abstract

Arthrodesis of the wrist has been considered as the gold standard for osteoarthritis of the wrist. In 1984 Watson and Ballet identified a specific pattern of carpal collapse (scapholunate advanced collapse = SLAC) with progressive osteoarthritis. In order to preserve some motion, other alternative procedures have been proposed: proximal row carpectomy (PRC) and scaphoidectomy combined with a four-corner arthrodesis (4CA). In this cohort of 63 patients, three types of surgical treatment were performed (arthrodesis in 19, PRC in 26 and scaphoidectomy with 4CA in 18). The DASH questionnaire was used to evaluate the residual disability. PRC had a significantly better outcome (DASH=16), while there were no significant differences between full arthrodesis (DASH=45) and four corner arthrodesis (DASH=39). In PRC and in four corner arthrodesis a functional range of motion could be preserved (resepectively 44 degrees and 52 degrees flexion/extension arc). Gripping force remained inferior to the non operated side. There was a significant increase in gripping force in the PRC group, but not in the others. The final gripping force was not significantly different in the three treatment regimes.

Authors+Show Affiliations

University Hospital Pellenberg, Leuven, Belgium. luc.desmet@uz.kuleuven.ac.beNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17152415

Citation

De Smet, Luc, et al. "Salvage Procedures for Degenerative Osteoarthritis of the Wrist Due to Advanced Carpal Collapse." Acta Orthopaedica Belgica, vol. 72, no. 5, 2006, pp. 535-40.
De Smet L, Degreef I, Robijns F, et al. Salvage procedures for degenerative osteoarthritis of the wrist due to advanced carpal collapse. Acta Orthop Belg. 2006;72(5):535-40.
De Smet, L., Degreef, I., Robijns, F., Truyen, J., & Deprez, P. (2006). Salvage procedures for degenerative osteoarthritis of the wrist due to advanced carpal collapse. Acta Orthopaedica Belgica, 72(5), 535-40.
De Smet L, et al. Salvage Procedures for Degenerative Osteoarthritis of the Wrist Due to Advanced Carpal Collapse. Acta Orthop Belg. 2006;72(5):535-40. PubMed PMID: 17152415.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Salvage procedures for degenerative osteoarthritis of the wrist due to advanced carpal collapse. AU - De Smet,Luc, AU - Degreef,Ilse, AU - Robijns,Filip, AU - Truyen,Jan, AU - Deprez,Patrick, PY - 2006/12/13/pubmed PY - 2007/2/10/medline PY - 2006/12/13/entrez SP - 535 EP - 40 JF - Acta orthopaedica Belgica JO - Acta Orthop Belg VL - 72 IS - 5 N2 - Arthrodesis of the wrist has been considered as the gold standard for osteoarthritis of the wrist. In 1984 Watson and Ballet identified a specific pattern of carpal collapse (scapholunate advanced collapse = SLAC) with progressive osteoarthritis. In order to preserve some motion, other alternative procedures have been proposed: proximal row carpectomy (PRC) and scaphoidectomy combined with a four-corner arthrodesis (4CA). In this cohort of 63 patients, three types of surgical treatment were performed (arthrodesis in 19, PRC in 26 and scaphoidectomy with 4CA in 18). The DASH questionnaire was used to evaluate the residual disability. PRC had a significantly better outcome (DASH=16), while there were no significant differences between full arthrodesis (DASH=45) and four corner arthrodesis (DASH=39). In PRC and in four corner arthrodesis a functional range of motion could be preserved (resepectively 44 degrees and 52 degrees flexion/extension arc). Gripping force remained inferior to the non operated side. There was a significant increase in gripping force in the PRC group, but not in the others. The final gripping force was not significantly different in the three treatment regimes. SN - 0001-6462 UR - https://www.unboundmedicine.com/medline/citation/17152415/Salvage_procedures_for_degenerative_osteoarthritis_of_the_wrist_due_to_advanced_carpal_collapse_ L2 - https://medlineplus.gov/osteoarthritis.html DB - PRIME DP - Unbound Medicine ER -