Comparison between proximal row carpectomy and four-corner fusion for treating osteoarthrosis following carpal trauma: a prospective randomized study

To compare the functional results of carpectomy and four-corner fusion surgical procedures for treating osteoarthrosis following carpal trauma. In this prospective randomized study, 20 patients underwent proximal row carpectomy or four-corner fusion to treat wrist arthritis and their functional resu...

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Bibliographic Details
Published in:Clinics (São Paulo, Brazil) Brazil), 2011-01, Vol.66 (1), p.51-55
Main Authors: França Bisneto, Edgard Novaes, Freitas, Maura Cristina, Leomil de Paula, Emygdio José, Mattar, Rames, Zumiotti, Arnaldo Valdir
Format: Article
Language:English
Subjects:
Adult
Arthritis
Arthrodesis
Carpal bones
Carpal Bones - injuries
Carpal Bones - surgery
Clinical Science
Degenerative
Humans
MEDICINE, GENERAL & INTERNAL
Middle Aged
Osteoarthritis - etiology
Osteoarthritis - surgery
Pain - prevention & control
Postoperative Period
Prospective Studies
Range of Motion, Articular
Recovery of Function
Time Factors
Treatment Outcome
Wrist injuries
Wrist joint
Wrist Joint - surgery
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Summary:To compare the functional results of carpectomy and four-corner fusion surgical procedures for treating osteoarthrosis following carpal trauma. 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. 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. 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.
ISSN:1807-5932
1980-5322
1980-5322
DOI:10.1590/S1807-59322011000100010