Treatment of Proximal Scaphoid Non-union by Resection of the Proximal Pole and Palmaris Longus Interposition Arthroplasty
| Autor: | Francesco Smeraglia, Giovanni Ciaramella, Simone Cerbasi, Massimo Mariconda, Giovanni Balato |
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| Přispěvatelé: | Smeraglia, Francesco, Ciaramella, Giovanni, Cerbasi, Simone, Balato, Giovanni, Mariconda, Massimo |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Visual analogue scale Radiography medicine.medical_treatment Avascular necrosis Wrist scaphoid non-union interposition arthroplasty surgery Arthroplasty Tendons Young Adult Postoperative Complications Osteoarthritis Dash medicine Humans Pinch Strength Orthopedics and Sports Medicine Aged Scaphoid Bone Hand Strength business.industry SLAC Wrist Middle Aged medicine.disease Tendon Surgery body regions Pseudarthrosis medicine.anatomical_structure Patient Satisfaction Fractures Ununited Female business Follow-Up Studies |
| Zdroj: | Handchirurgie · Mikrochirurgie · Plastische Chirurgie. 47:171-174 |
| ISSN: | 1439-3980 0722-1819 |
| Popis: | Background: The purpose of this study was to determine the long-term clinical and radiographic outcome in a group of patients treated with resection of the proximal pole and tendon ball arthroplasty because of a scaphoid non-union. Patients and Methods: 15 patients affected by scaphoid non-union and treated with resection arthroplasty were studied at a mean follow-up of 9.1 years. The assessment included a visual analogue scale (VAS) to evaluate pain, the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, and the measurement of grip and pinch strength. We also evaluated pre-operative and follow-up radiographs to determine the stage of SNAC wrist. Results: We obtained a good subjective clinical result in 11 patients and a poor result in 4. Mean VAS and DASH score at follow-up was 1.2±1.2 and 12±12,1, respectively. Grip and key pinch strength in the surgically treated hand were 89% of the contralateral hand. There was significant increase in the SNAC stage at follow-up with respect to the preoperative evaluation in the operated wrist. Conclusion: Resection of the proximal pole and tendon ball arthroplasty provided long-term relief of pain and good functional results in most patients affected by scaphoid non-union. This technique did not affect the natural history of SNAC wrist with its clinical and functional consequences. |
| Databáze: | OpenAIRE |
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