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[Capitolunate arthrodesis with tension band wire in wrist arthritis: twenty cases with four year follow-up].
Rev Chir Orthop Reparatrice Appar Mot. 2007 Feb; 93(1):37-45.RC

Abstract

PURPOSE OF THE STUDY

Treatment of degenerative osteoarthritis of the wrist is aimed at preserving wrist motion and force while reducing pain. Limitation of the degenerative processes to certain joints raises the possibility of intracarpal arthrodesis, e.g. capitolunate arthrodesis. We present results of this procedure with a tension band wire in patients with arthritic degenerative disease of the wrist.

MATERIAL AND METHODS

The series included 20 patients reviewed at mean 47 months. Mean age was 53.5 years. Pain was the main complaint. Wrist force and motion were decreased in all patients. All patients presented osteoarthritic disease of the wrist with preservation of the radiolunate space. The operation consisted in total scaphoidectomy and capitolunate arthrodesis maintained with a tension band wire. Force, pain (Mayo clinic score) and force (Jamar dynamometer) were recorded. The Cooney function score was determined and six patients completed the French Dash questionnaire. Radiolunate and capitolunate angles were noted as well as the index of carpal height measured preoperatively and at last follow-up.

RESULTS

Nineteen of the 20 arthrodeses fused. A revision graft was successful for the one nonunion. Pain was the only clinical factor which improved significantly (p<0.0001) in all patients. Lunatum extension (DISI) and capitatum flexion did not have any effect on functional outcome. Sixteen patients resumed their activities at the same level.

DISCUSSION

The results of this series are similar to those in the literature concerning four-way arthrodesis. Capitatolunate arthrodesis with partial arthrodesis of the carpus has been proposed for arthritic degeneration of the wrist with a preserved radiolunate space. We prefer this procedure to four-way arthrodesis because useful motion and wrist force are preserved with constant and effective significant pain relief.

Authors+Show Affiliations

Service de Chirurgie Orthopédique et Traumatologique, Hôpital Maison-Blanche, CHU de Reims, 45, rue Cognacq-Jay, 51100 Reims. alexandre.durand@wanadoo.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

17389823

Citation

Durand, A, et al. "[Capitolunate Arthrodesis With Tension Band Wire in Wrist Arthritis: Twenty Cases With Four Year Follow-up]." Revue De Chirurgie Orthopedique Et Reparatrice De L'appareil Moteur, vol. 93, no. 1, 2007, pp. 37-45.
Durand A, Harisboure A, Nurbel B, et al. [Capitolunate arthrodesis with tension band wire in wrist arthritis: twenty cases with four year follow-up]. Rev Chir Orthop Reparatrice Appar Mot. 2007;93(1):37-45.
Durand, A., Harisboure, A., Nurbel, B., Lawane, M., Grenier de Cardenal, D., Giraud, B., Kassouma, J., & Dehoux, E. (2007). [Capitolunate arthrodesis with tension band wire in wrist arthritis: twenty cases with four year follow-up]. Revue De Chirurgie Orthopedique Et Reparatrice De L'appareil Moteur, 93(1), 37-45.
Durand A, et al. [Capitolunate Arthrodesis With Tension Band Wire in Wrist Arthritis: Twenty Cases With Four Year Follow-up]. Rev Chir Orthop Reparatrice Appar Mot. 2007;93(1):37-45. PubMed PMID: 17389823.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Capitolunate arthrodesis with tension band wire in wrist arthritis: twenty cases with four year follow-up]. AU - Durand,A, AU - Harisboure,A, AU - Nurbel,B, AU - Lawane,M, AU - Grenier de Cardenal,D, AU - Giraud,B, AU - Kassouma,J, AU - Dehoux,E, PY - 2007/3/29/pubmed PY - 2007/4/27/medline PY - 2007/3/29/entrez SP - 37 EP - 45 JF - Revue de chirurgie orthopedique et reparatrice de l'appareil moteur JO - Rev Chir Orthop Reparatrice Appar Mot VL - 93 IS - 1 N2 - PURPOSE OF THE STUDY: Treatment of degenerative osteoarthritis of the wrist is aimed at preserving wrist motion and force while reducing pain. Limitation of the degenerative processes to certain joints raises the possibility of intracarpal arthrodesis, e.g. capitolunate arthrodesis. We present results of this procedure with a tension band wire in patients with arthritic degenerative disease of the wrist. MATERIAL AND METHODS: The series included 20 patients reviewed at mean 47 months. Mean age was 53.5 years. Pain was the main complaint. Wrist force and motion were decreased in all patients. All patients presented osteoarthritic disease of the wrist with preservation of the radiolunate space. The operation consisted in total scaphoidectomy and capitolunate arthrodesis maintained with a tension band wire. Force, pain (Mayo clinic score) and force (Jamar dynamometer) were recorded. The Cooney function score was determined and six patients completed the French Dash questionnaire. Radiolunate and capitolunate angles were noted as well as the index of carpal height measured preoperatively and at last follow-up. RESULTS: Nineteen of the 20 arthrodeses fused. A revision graft was successful for the one nonunion. Pain was the only clinical factor which improved significantly (p<0.0001) in all patients. Lunatum extension (DISI) and capitatum flexion did not have any effect on functional outcome. Sixteen patients resumed their activities at the same level. DISCUSSION: The results of this series are similar to those in the literature concerning four-way arthrodesis. Capitatolunate arthrodesis with partial arthrodesis of the carpus has been proposed for arthritic degeneration of the wrist with a preserved radiolunate space. We prefer this procedure to four-way arthrodesis because useful motion and wrist force are preserved with constant and effective significant pain relief. SN - 0035-1040 UR - https://www.unboundmedicine.com/medline/citation/17389823/[Capitolunate_arthrodesis_with_tension_band_wire_in_wrist_arthritis:_twenty_cases_with_four_year_follow_up]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/MDOI-RCO-01-2007-93-1-0035-1040-101019-200520006 DB - PRIME DP - Unbound Medicine ER -