Four corner arthrodesis limited to the centre using a scaphoid one piece graft and a dorsal circular plate.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 19843624.
- Also identified by DOI 10.1177/1753193409349905.
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Abstract
We present 20 patients, who had a four corner arthrodesis, from July 2006 to March 2008, using a dorsal circular plate, to treat scaphoid nonunion and scapholunate dissociation with advanced collapse (SNAC, SLAC). The surgical technique was a fusion restricted to the central area filled with one piece of cancellous bone graft taken from the excised scaphoid. Wrist motion, grip strength, and Disabilities of Arm Shoulder and Hand (DASH) score improved after surgery at a mean follow-up of 20.2 months. Fusion occurred in 19/20 patients. Two patients (10%) had persistent pain. The rest had a good clinical result. We found that four-corner fusion using a dorsal circular plate using the specific technical modifications was successful.
Medical subject headings
- Arthrodesis
- Fractures, Ununited
- Scaphoid Bone
- Wrist Injuries
Anatomy
- wrist