Capitolunate arthrodesis with scaphoid excision for the treatment of Scaphoid Nonunion Advanced Collapse wrists: a case-series

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

SALARI AMIR; Nezamslami Ahmadreza; SHAHRIAR KAMRANI REZA

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: HUMAN, HEALTH AND HALAL METRICS Year:2021 | Volume:2 | Issue:1 Page(s): 33-39

Download Full-Text

View:

165

Download:

Cites:

Information Journal Paper

Title

Capitolunate arthrodesis with scaphoid excision for the treatment of Scaphoid Nonunion Advanced Collapse wrists: a case-series

Author(s)

SALARI AMIR | Nezamslami Ahmadreza | SHAHRIAR KAMRANI REZA | Issue Writer Certificate

Keywords

Capitolunate fusion

DASH

partial wrist fusion

Scaphoid Nonunion Advanced Collapse (SNAC)

wrist osteoarthritis

Abstract

Background and objective: Scaphoid Nonunion Advanced Collapse (SNAC) is a common pattern of degenerative wrist arthritis. Besides the conventional surgical method (4-corner fusion (4CF)), alternative methods have been described as capitolunate arthrodesis. The objective of this study was to investigate the surgical result of the capitolunate fusion and the results from the post-surgical one-year follow-up. Materials and methods: From March 2008 to March 2017, among 21 patients with SNAC wrist, stages 2 and 3, 14 were included. Following the scaphoid resection, by preserving capitate convexity and concavity of the lunate's distal face, the lunate was reduced on the capitate, and capitolunate fusion was done using Herbert screws, in the antegrade direction. All patients were followed for one year. Clinical examinations and wrist x-rays were investigated in each follow-up session. Visual analog score (VAS), Disability of the Arm, Shoulder, and Hand (DASH score) were compared before and after the surgery. Grip strength, flexion and extension were recorded one year after surgery, compared with intact nonoperated hand. Results and conclusion: Union occurred in all of the patients. VAS score and DASH score decreased (from 6. 5 to 3. 3 and from 46. 14 to 30. 43). The VAS score and DASH score decreased significantly after a one-year follow-up (P-value ≤ 0. 05). Operated hand flexion was 34. 30 (20-80), the extension was 32. 58 (20-60), and grip strength was 29. 69 Kg (22-40). Non-operated hand flexion was 56. 38(30-80), the extension was 61. 8 (38-80), and grip strength was 44. 54 Kg (28-76). These differences were statistically significant (P-value ≤ 0. 05). Based on our study results, scaphoid excision and capitolunate arthrodesis resulted in an acceptable functional wrist with minimal pain. This finding reflects that capitolunate arthrodesis is a time-saving and easy-to-learn procedure. Minimal morbidity of this method supports the idea that the capitolunate arthrodesis is an acceptable alternative to 4CF, the conventional surgical method.

Multimedia

No record.

Cites

No record.

References

No record.

Cite

APA: Copy

SALARI, AMIR, Nezamslami, Ahmadreza, & SHAHRIAR KAMRANI, REZA. (2021). Capitolunate arthrodesis with scaphoid excision for the treatment of Scaphoid Nonunion Advanced Collapse wrists: a case-series. HUMAN, HEALTH AND HALAL METRICS, 2(1), 33-39. SID. https://sid.ir/paper/675332/en

Vancouver: Copy

SALARI AMIR, Nezamslami Ahmadreza, SHAHRIAR KAMRANI REZA. Capitolunate arthrodesis with scaphoid excision for the treatment of Scaphoid Nonunion Advanced Collapse wrists: a case-series. HUMAN, HEALTH AND HALAL METRICS[Internet]. 2021;2(1):33-39. Available from: https://sid.ir/paper/675332/en

IEEE: Copy

AMIR SALARI, Ahmadreza Nezamslami, and REZA SHAHRIAR KAMRANI, “Capitolunate arthrodesis with scaphoid excision for the treatment of Scaphoid Nonunion Advanced Collapse wrists: a case-series,” HUMAN, HEALTH AND HALAL METRICS, vol. 2, no. 1, pp. 33–39, 2021, [Online]. Available: https://sid.ir/paper/675332/en

Related Journal Papers

No record.

Related Seminar Papers

No record.

Related Plans

No record.

Recommended Workshops