Ortopedia, traumatologia, rehabilitacja
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Ortop Traumatol Rehabil · Oct 2018
Comparative StudyOutcomes after Scaphoid Excision and Midcarpal Arthrodesis for SNAC and SLAC Wrist Arthritis.
Persistent, long-lasting pseudoarthrosis of the scaphoid or scapholunate dissociation results in arthrosis of the radio-scaphoid joint termed scaphoid non-union advanced collapse (SNAC) or scapholunate advanced collapse (SLAC), which causes pain, reduction in wrist movements and weakness of the hand grip. Scaphoid resection followed by "four-corner" midcarpal arthrodesis is a recognized treatment for this condition. ⋯ 1. The results of the treatment presented in this stu-dy, after a relatively long follow-up period, show a beneficial effect of the surgery on pain intensity and improvement of hand dexterity, at the cost of a mild reduction in wrist movements. 2. It seems that this technique offers good, predicta-ble outcomes and may be recommended for Wa-t-son 2° and 3° SNAC or SLAC wrist arthrosis.