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Proximal row carpectomy versus four-corner arthrodesis as a treatment for SLAC (scapholunate advanced collapse) wrist.
J Hand Surg Eur Vol. 2008 Apr; 33(2):118-25.JH

Abstract

Four-corner arthrodesis and proximal row carpectomy are motion-preserving salvage solutions for the scapholunate advanced collapse wrist. We compared both procedures in a non-randomised, retrospective study of 30 cases with a mean follow-up of 3(1/2) years. Pain relief and functional gain were equal in both treatment groups. However, the complication rate was higher in the four-corner arthrodesis group, partly because of the need for internal fixation. The higher incidence of carpal tunnel syndrome following four-corner arthrodesis is intriguing. We also found significant differences in the duration of hospital stay and of postoperative sick leave in favour of proximal row carpectomy. If the cartilage on the capitate head is well preserved (Stages I-II), we prefer proximal row carpectomy because of the socio-economic benefits, the lower complication rate and the ease of the procedure. Degenerative changes following proximal row carpectomy may be a concern in young manual labourers, but have not been observed.

Authors+Show Affiliations

Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, Ghent, Belgium.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

18443048

Citation

Vanhove, W, et al. "Proximal Row Carpectomy Versus Four-corner Arthrodesis as a Treatment for SLAC (scapholunate Advanced Collapse) Wrist." The Journal of Hand Surgery, European Volume, vol. 33, no. 2, 2008, pp. 118-25.
Vanhove W, De Vil J, Van Seymortier P, et al. Proximal row carpectomy versus four-corner arthrodesis as a treatment for SLAC (scapholunate advanced collapse) wrist. J Hand Surg Eur Vol. 2008;33(2):118-25.
Vanhove, W., De Vil, J., Van Seymortier, P., Boone, B., & Verdonk, R. (2008). Proximal row carpectomy versus four-corner arthrodesis as a treatment for SLAC (scapholunate advanced collapse) wrist. The Journal of Hand Surgery, European Volume, 33(2), 118-25. https://doi.org/10.1177/1753193408087116
Vanhove W, et al. Proximal Row Carpectomy Versus Four-corner Arthrodesis as a Treatment for SLAC (scapholunate Advanced Collapse) Wrist. J Hand Surg Eur Vol. 2008;33(2):118-25. PubMed PMID: 18443048.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Proximal row carpectomy versus four-corner arthrodesis as a treatment for SLAC (scapholunate advanced collapse) wrist. AU - Vanhove,W, AU - De Vil,J, AU - Van Seymortier,P, AU - Boone,B, AU - Verdonk,R, PY - 2008/4/30/pubmed PY - 2008/10/15/medline PY - 2008/4/30/entrez SP - 118 EP - 25 JF - The Journal of hand surgery, European volume JO - J Hand Surg Eur Vol VL - 33 IS - 2 N2 - Four-corner arthrodesis and proximal row carpectomy are motion-preserving salvage solutions for the scapholunate advanced collapse wrist. We compared both procedures in a non-randomised, retrospective study of 30 cases with a mean follow-up of 3(1/2) years. Pain relief and functional gain were equal in both treatment groups. However, the complication rate was higher in the four-corner arthrodesis group, partly because of the need for internal fixation. The higher incidence of carpal tunnel syndrome following four-corner arthrodesis is intriguing. We also found significant differences in the duration of hospital stay and of postoperative sick leave in favour of proximal row carpectomy. If the cartilage on the capitate head is well preserved (Stages I-II), we prefer proximal row carpectomy because of the socio-economic benefits, the lower complication rate and the ease of the procedure. Degenerative changes following proximal row carpectomy may be a concern in young manual labourers, but have not been observed. SN - 1753-1934 UR - https://www.unboundmedicine.com/medline/citation/18443048/Proximal_row_carpectomy_versus_four_corner_arthrodesis_as_a_treatment_for_SLAC__scapholunate_advanced_collapse__wrist_ L2 - https://journals.sagepub.com/doi/10.1177/1753193408087116?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -