Radioscapholunate fusion for posttraumatic osteoarthritis with consecutive excision of the distal scaphoid and the triquetrum: A comparative study
| Autor: | L. Dagneaux, David Montoya-Faivre, B. Degeorge, François Dap, Michel Chammas, C. Lazerges, G. Dautel, Bertrand Coulet |
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| Přispěvatelé: | Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Centre Chirurgical Emile Gallé [Nancy] |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Visual Analog Scale Arthrodesis medicine.medical_treatment [SDV]Life Sciences [q-bio] Arthritis Osteoarthritis 030230 surgery Wrist 03 medical and health sciences Disability Evaluation Triquetrum Bone 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Lunate Bone Retrospective Studies Scaphoid Bone 030222 orthopedics Hand Strength business.industry Rehabilitation Middle Aged medicine.disease 3. Good health Surgery Wrist osteoarthritis Radiography Radius medicine.anatomical_structure Triquetrum Patient Satisfaction Midcarpal joint Female business Range of motion Follow-Up Studies |
| Zdroj: | Hand Surgery and Rehabilitation Hand Surgery and Rehabilitation, Elsevier, 2020, 39, pp.375-382. ⟨10.1016/j.hansur.2020.05.002⟩ |
| ISSN: | 2468-1229 2468-1210 |
| Popis: | The aim of this study was to assess the clinical and radiographic outcomes after radioscapholunate (RSL) fusion for posttraumatic osteoarthritis. This was a retrospective, dual-center study of all patients who underwent RSL fusion between 1995 and 2015 for posttraumatic radiocarpal osteoarthritis. Patients were assessed at the final review to determine clinical (pain, wrist range of motion and strength), self-reported (QuickDASH, PRWE and MWS scores) and radiological (degenerative osteoarthritis in the scaphotrapeziotrapezoid (STT) or midcarpal joint and radiocarpal fusion) outcomes. We analyzed three groups: RSL fusion alone, RSL fusion with distal scaphoid excision (DSE) and RSL fusion with DSE and triquetrum excision (TE). Eighty-five patients were included; 10 were lost to follow-up and 11 required conversion to total wrist fusion before the final review. Finally, 64 patients had both clinical and radiographic evaluations. The mean follow-up was 9.1 years (range 1-21.4). RSL fusion alone was performed in 29 patients, RSL fusion with DSE in 23 and RSL fusion with DSE and TE in 12. At the final follow-up, the three groups did not differ in their pain or wrist motion. Overall, 47 (73%) patients were satisfied or very satisfied with the procedure. DSE significantly decreased STT osteoarthritis and radiocarpal non-union. The total wrist osteoarthritis rate after RSL fusion was 55%. RSL fusion is an effective procedure to preserve some motion in wrists with posttraumatic radiocarpal osteoarthritis. DSE prevents STT osteoarthritis by removing bony impingement and increases the fusion rate. LEVEL OF EVIDENCE: Level IV, Case series, Therapeutic studies. |
| Databáze: | OpenAIRE |
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