Comparison between proximal row carpectomy and four‐corner fusion for treating osteoarthrosis following carpal trauma: a prospective randomized study
نویسندگان
چکیده
OBJECTIVE To compare the functional results of carpectomy and four-corner fusion surgical procedures for treating osteoarthrosis following carpal trauma. METHODS In this prospective randomized study, 20 patients underwent proximal row carpectomy or four-corner fusion to treat wrist arthritis and their functional results were compared. The midcarpal joint was free of lesions in all patients. RESULTS Both proximal row carpectomy and four-corner fusion reduced the pain. All patients had a decreased range of motion after surgery. The differences between groups were not statistically significant. CONCLUSIONS Functional results of the two procedures were similar as both reduced pain in patients with scapholunate advanced collapse/scaphoid non-union advanced collapse (SLAC/SNAC) wrist without degenerative changes in the midcarpal joint.
منابع مشابه
Four Corner Fusion and Proximal Row Carpectomy: Comparison of Wrist Motion and Tendon Forces
Introduction: There is controversy as to whether a proximal row carpectomy (PRC) is a better procedure than scaphoid excision with 4corner fusion for preserving motion in the painful posttraumatic arthritic wrist. Clinical studies have shown that wrist range of motion after PRC and 4-corner fusion are comparable, although slightly less after 4-corner fusion (Krakauer, Wyrick, Tomaino). Recent 1...
متن کاملOsteochondral resurfacing with proximal row carpectomy: 8-year follow-up.
Degenerative arthrosis of the proximal row remains a challenging problem for both patients and surgeons. Proximal row carpectomy is a motion-preserving treatment option, with studies documenting acceptable long-term outcomes. Proximal row carpectomy is an attractive option because there is no need for fusion to occur between the carpal bones, as in 4-corner fusion. As a result, laborers and smo...
متن کاملRandomized clinical trial between proximal row carpectomy and the four-corner fusion for patients with stage II SNAC☆
OBJECTIVE To compare the outcomes of patients with stage II SNAC submitted to surgical treatment by proximal row carpectomy (PRC) or four-corner fusion (FCF). METHOD Twenty-seven patients aged 18-59 years (mean 37.52 years) were included. Thirteen patients underwent PRC in Group A, and 14 underwent FCF of the wrist in Group B. Evaluations were made before and after surgery with follow-up betw...
متن کاملDistal Row Carpectomy—A Possible Salvage Procedure of Severe Carpal Trauma
Complex fracture dislocations of the wrist often result in posttraumatic arthrosis. In trying to avoid total arthrodesis, alternative treatment strategies have been investigated. For this purpose, we present the case of a 56-year-old male patient who sustained a direct trauma during a circular saw accident, resulting in the destruction of the distal carpal row among other things. However, the p...
متن کاملAbstract: Carpal Translocation Following Dorsal Bridge Plate Fixation of Distal Radius Fractures: A Cadaveric Study
MaterIals and Methods: From 1982 to 2009, a series of 32 patients were diagnosed with Preiser’s disease with the criteria that avascular necrosis of the scaphoid was not associated with an obvious fracture. Conservative treatment only was applied in 9 patients; surgical reconstructions were applied in the other 23. The primary indication for surgery was pain at all times, or at occupational and...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 66 شماره
صفحات -
تاریخ انتشار 2011