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Motion-preserving procedures in the treatment of scapholunate advanced collapse wrist: proximal row carpectomy versus four-corner arthrodesis.
J Hand Surg Am. 1995 Nov; 20(6):965-70.JH

Abstract

Seventeen patients were treated with scaphoid excision and four-corner arthrodesis (lunate, capitate, hamate, triquetrum) for scapholunate advanced collapse wrist and followed for a mean of 27 months. Eleven wrists in 10 patients had a proximal row carpectomy for scapholunate advanced collapse wrist and were followed for a mean of 37 months. The total arc of motion averaged 95 degrees in the four-corner arthrodesis patients and 115 degrees in the proximal row carpectomy patients, which was 47% and 64%, respectively, of the range of motion of the opposite wrist. Grip strength averaged 74% of the opposite wrist in the four-corner arthrodesis group and 94% in the proximal row carpectomy group. Three wrists in the four-corner arthrodesis group failed and were successfully converted to a total wrist fusion; two additional patients were awaiting arthrodesis. There were no failures in the proximal row carpectomy group. Proximal row carpectomy showed a high degree of patient satisfaction and is our motion-preserving procedure of choice except in those wrists with advanced capitolunate arthritis.

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Publisher Full Text

Authors+Show Affiliations

Wyrick JD
Cincinnati Hand Surgery Consultants, OH 45206, USA.
Stern PJ
No affiliation info available
Kiefhaber TR
No affiliation info available

MeSH

AdultAgedArthrodesisCarpal BonesFemaleFollow-Up StudiesHand StrengthHumansLunate BoneMaleMiddle AgedOsteoarthritisPostoperative ComplicationsRadiographyRange of Motion, ArticularWrist Joint

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8583069

Citation

Wyrick, J D., et al. "Motion-preserving Procedures in the Treatment of Scapholunate Advanced Collapse Wrist: Proximal Row Carpectomy Versus Four-corner Arthrodesis." The Journal of Hand Surgery, vol. 20, no. 6, 1995, pp. 965-70.
Wyrick JD, Stern PJ, Kiefhaber TR. Motion-preserving procedures in the treatment of scapholunate advanced collapse wrist: proximal row carpectomy versus four-corner arthrodesis. J Hand Surg Am. 1995;20(6):965-70.
Wyrick, J. D., Stern, P. J., & Kiefhaber, T. R. (1995). Motion-preserving procedures in the treatment of scapholunate advanced collapse wrist: proximal row carpectomy versus four-corner arthrodesis. The Journal of Hand Surgery, 20(6), 965-70.
Wyrick JD, Stern PJ, Kiefhaber TR. Motion-preserving Procedures in the Treatment of Scapholunate Advanced Collapse Wrist: Proximal Row Carpectomy Versus Four-corner Arthrodesis. J Hand Surg Am. 1995;20(6):965-70. PubMed PMID: 8583069.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Motion-preserving procedures in the treatment of scapholunate advanced collapse wrist: proximal row carpectomy versus four-corner arthrodesis. AU - Wyrick,J D, AU - Stern,P J, AU - Kiefhaber,T R, PY - 1995/11/1/pubmed PY - 1995/11/1/medline PY - 1995/11/1/entrez SP - 965 EP - 70 JF - The Journal of hand surgery JO - J Hand Surg Am VL - 20 IS - 6 N2 - Seventeen patients were treated with scaphoid excision and four-corner arthrodesis (lunate, capitate, hamate, triquetrum) for scapholunate advanced collapse wrist and followed for a mean of 27 months. Eleven wrists in 10 patients had a proximal row carpectomy for scapholunate advanced collapse wrist and were followed for a mean of 37 months. The total arc of motion averaged 95 degrees in the four-corner arthrodesis patients and 115 degrees in the proximal row carpectomy patients, which was 47% and 64%, respectively, of the range of motion of the opposite wrist. Grip strength averaged 74% of the opposite wrist in the four-corner arthrodesis group and 94% in the proximal row carpectomy group. Three wrists in the four-corner arthrodesis group failed and were successfully converted to a total wrist fusion; two additional patients were awaiting arthrodesis. There were no failures in the proximal row carpectomy group. Proximal row carpectomy showed a high degree of patient satisfaction and is our motion-preserving procedure of choice except in those wrists with advanced capitolunate arthritis. SN - 0363-5023 UR - https://www.unboundmedicine.com/medline/citation/8583069/Motion_preserving_procedures_in_the_treatment_of_scapholunate_advanced_collapse_wrist:_proximal_row_carpectomy_versus_four_corner_arthrodesis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0363-5023(05)80144-3 DB - PRIME DP - Unbound Medicine ER -