Midcarpal fusion: clinical and radiological study on outcomes with a minimum follow-up of three years

DOI: https://doi.org/10.15417/457
Keywords: Midcarpal fusion, four corner arthrodesis, scaphoid non-union advanced collapse, scapholunate advanced collapse.

Abstract

ObjectiveFind out the clinical and radiological outcome of patients treated with midcarpal arthrodesis with a minimum follow-up of 3 years.MethodsThe patients treated in our service through midcarpal arthrodesis since May 1998 were studied. From a total of 27 there were included 11 wrists that had a minimum follow-up of 3 years. Eight were men and three women; the mean age was 47 years (16-66) and average follow up 6.7 years (3 to 15). The used technique was 2 or 4 corner fusion with scaphoid resection plus distal radius graft. We evaluated them clinically assessing pain using Visual Analog Scale (VAS), mobility, and grip strength. Underwent QuickDASH and x-rays of control.ResultsPain improved from a preoperative value of 5/10 at rest and 8/10 at activity to 0/10 and 2/10 postoperatively. The mobility the patients lost with respect to the healthy side was 39% flexoextension, 15% of radial deviation, and 31% of ulnar deviation. There were no changes in pronosupination and the postoperative QuickDASH was 10. The force was 92% compared to the contralateral side. Radiologically 4 patients didn´t show changes in radiolunate joint space; in the remaining, it was narrower. Two patients were reoperated for nonunion with bone graft.ConclusionsMidcarpal fusion improves symptoms, retaining 61% of the flexoextension, 85% of the radial deviation, 31% of the ulnar deviation and 92% of the force.

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Author Biographies

Pablo De Carli, Hospital Italiano de Buenos Aires
Ortopedia y Traumatologia
José Ignacio Oñativia, Hospital Italiano de Buenos Aires
Ortopedia y Traumatologia
Agustín Donnddorff, Hospital Italiano de Buenos Aires
Ortopedia y Traumatologia
Verónica Alfie, Hospital Italiano de Buenos Aires
Ortopedia y Traumatologia
Gerardo Gallucci, Hospital Italiano de buenos Aires
Ortopedia yTraumatologia
Jorge Boretto, Hospital Italiano de Buenos Aires
Ortopedia y Traumatologia

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Published
2015-11-19
How to Cite
De Carli, P., Oñativia, J. I., Donnddorff, A., Alfie, V., Gallucci, G., & Boretto, J. (2015). Midcarpal fusion: clinical and radiological study on outcomes with a minimum follow-up of three years. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 80(4), 274-281. https://doi.org/10.15417/457
Issue
Vol 80 No 4 (2015)
Section
Clinical Research

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