Four-corner fusion of the wrist: clinical and radiographic outcome of 31 patients

Background Four-corner fusion is a rational surgical option for the management of degenerative conditions of the wrist. Most related studies have compared four-corner fusion with scaphoid excision or proximal row carpectomy, with a variety of reported results. To enhance the literature, we performed...

Full description

Saved in:
Bibliographic Details
Published in:European journal of orthopaedic surgery & traumatology 2016-12, Vol.26 (8), p.859-866
Main Authors: Mavrogenis, Andreas F., Flevas, Dimitrios A., Raptis, Konstantinos, Megaloikonomos, Panayiotis D., Igoumenou, Vasilios G., Antoniadou, Thekla, Dimopoulos, Leonidas, Antonopoulos, Dimitrios, Spyridonos, Sarantis G.
Format: Article
Language:English
Subjects:
Adult
Arthrodesis - adverse effects
Arthrodesis - instrumentation
Arthrodesis - methods
Bone Wires
Female
Follow-Up Studies
Greece
Hand Strength
Humans
Male
Medicine
Medicine & Public Health
Original Article • WRIST - FUSION
Osteoarthritis - diagnosis
Osteoarthritis - etiology
Osteoarthritis - surgery
Outcome and Process Assessment (Health Care)
Pain
Patients
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Radiography - methods
Range of motion
Range of Motion, Articular
Recovery of Function
Surgical Orthopedics
Traumatic Surgery
Wrist
Wrist Injuries - complications
Wrist Injuries - diagnosis
Wrist Injuries - surgery
Wrist Joint - diagnostic imaging
Wrist Joint - physiopathology
Wrist Joint - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Four-corner fusion is a rational surgical option for the management of degenerative conditions of the wrist. Most related studies have compared four-corner fusion with scaphoid excision or proximal row carpectomy, with a variety of reported results. To enhance the literature, we performed this study to evaluate a series of patients with degenerative conditions of the wrist treated with four-corner fusion using 3 surgical techniques and to discuss the clinical and radiographic outcome of the patients. Materials and methods We retrospectively studied 31 patients (24 men, 7 women; mean age, 43 years; 9 heavy manual laborers) who underwent four-corner fusion of their wrists for degenerative conditions from 2005 to 2015. Internal fixation was done using multiple Kirschner wires (14 patients), headless compressive screws (8 patients), or a circular plate (9 patients). Mean follow-up was 4 years (1–11 years). We evaluated the clinical outcome with the Patient-Rated Wrist Evaluation (PRWE) score and fusion with radiographs. Results All patients experienced improvement of their pain, function, range of motion and grip strength ( p  
ISSN:1633-8065
1432-1068
DOI:10.1007/s00590-016-1824-5