Adaptive Proximal Scaphoid Implant (APSI): 10-year outcomes in patients with SNAC wrists
| Autor: | Etienne Gaisne, T. Loubersac, Marion Aribert, Yves Bouju, F. Chaise, Philippe Bellemère |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Reoperation Wrist Joint medicine.medical_specialty Visual Analog Scale Visual analogue scale Radiography medicine.medical_treatment Joint Prosthesis Osteoarthritis 030230 surgery Wrist Medium term 03 medical and health sciences 0302 clinical medicine Postoperative Complications medicine Humans Orthopedics and Sports Medicine In patient Arthroplasty Replacement Range of Motion Articular Retrospective Studies Scaphoid Bone 030222 orthopedics Hand Strength business.industry Rehabilitation Middle Aged medicine.disease Arthroplasty Surgery body regions Radius medicine.anatomical_structure Patient Satisfaction Female Implant business Follow-Up Studies |
| Zdroj: | Hand surgeryrehabilitation. 38(1) |
| ISSN: | 2468-1210 |
| Popis: | Radioscaphoid arthroplasty with the Adaptive Proximal Scaphoid Implant (APSI®) is an attractive treatment alternative in the short and medium term for patients with early scaphoid non-union advanced collapse (SNAC) wrist. The purpose of our study was to determine the long-term outcomes of this implant in SNAC wrists. All patients who received the implant from October 2002 to October 2010 were included. A clinical and radiographic study was performed. Our case series included 39 patients, of which 33 were contacted, with a mean follow-up of 10 years (5.8–13.4). Most of the patients had stage-1 SNAC wrist (95%). There were nine complications (27%), seven of which required reoperation: implant dislocation (44%) or progression of the carpal degeneration (33%). Ninety-six percent of patients contacted were satisfied or very satisfied with their surgery (although 21% needed a second surgery) with a Mayo Wrist Score of 80/100 and a Patient-Rated Wrist Evaluation of 17.5/100. Wrist strength was 86% of the contralateral side. Flexion–extension range was 101° and pain assessed using a visual analog scale was at 1.2 (0–6). We report satisfactory and lasting results with the APSI®, similar to those of scaphoid excision with four-corner fusion and proximal row carpectomy. Hence, the APSI® is a reliable alternative for treating osteoarthritis in SNAC wrists. |
| Databáze: | OpenAIRE |
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