Scapholunate fusion appears to be an interesting surgical solution for carpal pathologies, which are sometimes difficult to manage as Kienbock's disease or chronic scapholunate instability. Open intracarpal fusion is notorious for decreasing joint range of motion due to the fusion of several carpal bones and because of the capsulotomy sectioning important ligamentous elements in carpal biomechanics. Wrist arthroscopy has already demonstrated its effectiveness in preserving joint mobility compared with open procedures. In this work, we present a detailed procedure for performing a scaphocapitate fusion under arthroscopy by specifying the key points of this procedure in our experience.
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http://dx.doi.org/10.1016/j.eats.2022.03.012 | DOI Listing |
Cureus
October 2024
Orthopaedics, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Lunate dislocation is a rare injury caused by a fall on an outstretched hand with axial loading on the dorsiflexed wrist. These injuries are often missed and tend to present late. Median nerve compressive neuropathy is a common associated finding in such cases.
View Article and Find Full Text PDFInt Orthop
February 2025
Department of Orthopedic Surgery, Hadara University Hospital, University of Alexandria, Alexandria, Egypt.
Purpose: Scaphocapitate fusion (SCF) is an important surgical option for carpal pathologies, which are difficult to manage as Kienböck's disease. With the advantages of arthroscopy combined with percutaneous fixation techniques, arthroscopic scaphocapitate fusion can have the best outcome for the patient from a functional perspective. This study aims to evaluate the clinical, radiological, and functional results of arthroscopic SCF.
View Article and Find Full Text PDFArch Orthop Trauma Surg
August 2024
Orthopedic Department, Faculty of Medicine, AL-Azhar University, Assiut City, Assiut, 71524, Egypt.
Purpose: The study evaluated the efficacy of SC arthrodesis with lunate preservation for treating patients diagnosed with stage IIIB or IIIC Kienböck's disease, who also exhibit neutral ulnar variance. The study further aimed to explore potential variations in outcomes between patients diagnosed with stage IIIB and IIIC Kienböck's disease.
Methods: Thirty-two patients diagnosed with stage IIIB (n = 19) and stage IIIC (n = 13) Kienböck's disease underwent SC arthrodesis with distal radius bone grafting stabilised by Herbert compression screws.
J Hand Surg Glob Online
July 2023
Department of Orthopaedic Surgery, Surgical Specialty Center, Hamad Medical Corporation, Doha, Qatar.
Purpose: To report the functional and radiological outcomes of scaphocapitate (SC) arthrodesis in the treatment of Kienböck disease.
Methods: This meta-analysis was conducted with adherence to PRISMA guidelines. Google Scholar, PubMed, Cochrane and Virtual Health Library were searched from inception until November 2022.
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