Ten-Year Minimum Follow-Up of 4-Corner Fusion for SLAC and SNAC Wrist

Hand : Official Journal of the American Association for Hand Surgery
Purnell TraversoH Kirk Watson

Abstract

Scapholunate advanced collapse (SLAC) of the wrist is the most common degenerative condition of the wrist. Four-corner fusion (4CF) is performed as salvage surgery, though there is limited information on its long-term results. We hypothesized that 4CF is a durable surgery with good clinical long-term function. A retrospective chart review of patients undergoing 4CF as well as an interview and recent radiographs were obtained. Patients with a follow-up period of less than 10 years were excluded. Long-term evaluation included standard wrist radiographs, wrist range of motion, and the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire. Radiographs were evaluated and described by the Kellgren-Lawrence classification. Four hundred eighty-nine wrists underwent a 4CF for SLAC wrist from 1982 to 2003. Twelve patients (15 wrists) were available for follow-up. Average age at surgery was 49.1 years (range, 25-67 years). Average follow-up postsurgery was 18 years (11-27). Scapholunate advanced collapse was the etiology in 13 wrists and scaphoid nonunion advanced collapse in 2 wrists. Average extension/flexion arc was 68.6° (0°-96°), and radial/ulnar deviation arc was 32.9° (0°-5°). QuickDASH scores averaged 7.8 (ran...Continue Reading

References

May 1, 1991·The Journal of Hand Surgery·J Y RyuE Y Chao
Sep 1, 1994·The Journal of Hand Surgery·D AshmeadW Paly
Oct 8, 1998·The Journal of Hand Surgery·J R Carlson, B P Simmons
Dec 29, 2000·The Journal of Bone and Joint Surgery. British Volume·S BonsellK P Speer
May 31, 2001·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·R JainC V Bowen
Dec 1, 1957·Annals of the Rheumatic Diseases·J H KELLGREN, J S LAWRENCE
Sep 10, 2008·Hand : Official Journal of the American Association for Hand Surgery·Martin C SkieHolly Smith
Nov 11, 2008·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Thomas KremerSteffen Baumeister
Aug 19, 2009·The Journal of Hand Surgery, European Volume·A FerreresR Plaza
Dec 8, 2009·Chirurgie de la main·J RichouD Le Nen
Feb 7, 2012·The Journal of Hand Surgery·Tuna Ozyurekoglu, Tolga Turker
Mar 2, 2013·Hand : Official Journal of the American Association for Hand Surgery·Mir H AliSteven L Moran
Oct 30, 2013·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Sameer K KhanJonathan W M Jones
Nov 2, 2013·Journal of Wrist Surgery·Florian NeubrechK J Prommersberger
Jun 26, 2014·The Journal of Hand Surgery, European Volume·D Yeoh, L Tourret
Feb 24, 2015·The Journal of Hand Surgery·Merel J L BerkhoutMarco J P F Ritt
May 7, 2015·Journal of Wrist Surgery·Ian A TrailAnn Birch
Jun 29, 2015·The Journal of Hand Surgery·David P GreenLisa K Longhofer

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Citations

Mar 10, 2020·JBJS Reviews·Collier C CampbellEric R Wagner
Aug 19, 2020·Der Orthopäde·C K SpiesF Unglaub
Nov 4, 2020·Plastic and Reconstructive Surgery·Helene RetrouveyHeather L Baltzer
Oct 31, 2020·JB & JS Open Access·Minkyoung YooNikolas H Kazmers
Mar 19, 2021·Journal of Plastic Surgery and Hand Surgery·Ole ReigstadMagne Røkkum
Dec 11, 2019·The Journal of Hand Surgery·John C DunnLeon J Nesti
Dec 2, 2021·The Journal of Hand Surgery, European Volume·Gwenaël MevelThierry Dreano

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Methods Mentioned

BETA
total wrist arthroplasty

Software Mentioned

QuickDASH

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