AI Article Synopsis

  • - The study aimed to compare the outcomes of two surgical methods, carpectomy and four-corner fusion, for treating wrist arthritis resulting from previous carpal injury.
  • - Involving 20 patients, the research found that both procedures effectively reduced pain but resulted in a decreased range of motion; however, the differences between the two methods were not statistically significant.
  • - The conclusion indicates that both surgical options yielded similar functional improvements for patients with specific types of wrist arthritis, showing that they can manage pain effectively despite causing some loss of motion.

Article Abstract

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3044580PMC
http://dx.doi.org/10.1590/s1807-59322011000100010DOI Listing

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Degenerative wrist conditions, such as scapholunate advanced collapse and scaphoid nonunion advanced collapse, often require salvage procedures to reduce pain and improve function. For early stages of disease, both proximal row carpectomy and scaphoid excision four-corner arthrodesis are viable motion-preserving options. There remains controversy on which technique is superior.

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Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) represent clinical entities identified by a pattern of predictable degenerative changes. They are the most common causes of wrist arthritis. Both entities can remain asymptomatic for many years and may go undiagnosed.

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