Arthroscopic Scaphocapitate Fusion: Surgical Technique

Bargemon, Jean-Baptiste de Villeneuve; Peras, Matthieu; Hasegawa, Hideo; Levadoux, Michel

doi:10.1016/j.eats.2022.03.012

Cited by 6 publications

(3 citation statements)

References 11 publications

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“…Currently, the trend is to perform these arthrodeses arthroscopically, and various authors 8 9 10 have published similar results to those obtained through open surgery. Theoretically, arthroscopic surgery offers the advantages of a minimally-invasive approach, reduces the risk of stiffness secondary to dorsal capsulotomy, and increases the consolidation rate due to decreased damage to the neurovascular structures and greater respect for the soft tissues.…”

Section: Partial Arthrodesismentioning

confidence: 91%

“…Actualmente, la tendencia es realizar estas artrodesis por vía artroscópica, y diversos autores 8 9 10 han publicado resultados similares a los obtenidos mediante cirugía abierta. Teóricamente, la cirugía artroscópica ofrece las ventajas de un abordaje mínimamente invasivo y disminuye el riesgo de rigidez secundaria a la capsulotomía dorsal; también aumenta la tasa de consolidación por el menor daño a las estructuras neurovasculares y mayor respeto de las partes blandas.…”

Section: Artrodesis Parcialesunclassified

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Artrodesis de muñeca

Andreu,

García,

Herráez

et al. 2024

Revista Iberoamericana de Cirugía de la Mano

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ResumenLas artrodesis de muñeca, tanto totales como parciales, son opciones terapéuticas para el tratamiento de las artropatías postraumáticas, degenerativas o reumáticas. El objetivo de estas cirugías es eliminar el dolor y estabilizar la muñeca con el detrimento de pérdida de movilidad, permitiendo a los pacientes retomar sus actividades diarias sin dolor. Las artrodesis parciales tienen como objetivo conservar cierta movilidad al fusionar solo ciertas articulaciones dejando móviles solo las articulaciones no patológicas, mientras que las artrodesis totales involucran la fusión total de la muñeca, ofreciendo soluciones definitivas para el dolor intenso e inestabilidad.La realización de estas técnicas mediante cirugía artroscópica ofrece resultados similares a los de la cirugía abierta, con el beneficio adicional de minimizar las complicaciones, reducir el tiempo de recuperación y mejorar el resultado estético postoperatorio.

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Section: Partial Arthrodesismentioning

confidence: 91%

Section: Artrodesis Parcialesunclassified

Artrodesis de muñeca

Andreu,

García,

Herráez

et al. 2024

Revista Iberoamericana de Cirugía de la Mano

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“…The scapho-semilunar fusion technique shows promising results in the management of advanced Kienböck's disease without the need for excision of the lunate lunate (19,20).…”

Section: Figure 3 Degree Of Carpal Collapse By Salmon Et Al Through T...mentioning

confidence: 99%

Kienböck's Disease, Avascular Necrosis of the Lunate

Pesántez

García

Banegas

et al. 2022

EPRA

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Introduction: Avascular necrosis of the lunate bone was described in 1910 by the Austrian radiologist Robert Kienböck, which is named after him. A mixture of different factors such as mechanical, vascular and genetic predisposition may be related to the pathogenesis of this disease. As for the natural evolution of the disease, failure in early diagnosis and early treatment may lead to a gradual evolution from stage I to stage IV, causing discomfort to the patient. Objective: to detail the current information related to avascular necrosis of the lunate, description, etiology, classification, imaging presentation and management of Kienböck's disease. Methodology: a total of 32 articles were analyzed in this review, including review and original articles, as well as clinical cases, 20 bibliographies were used because the other articles were not relevant for this study. The sources of information were PubMed, Google Scholar and Cochrane; the terms used to search for information in Spanish, Portuguese and English were: Kienböck, avascular necrosis of the lunate and lunatomalacia. Results: it is the second most frequent cause of avascular necrosis of the carpal bones and generally affects males between 20 and 40 years of age. Nuclear magnetic resonance has a greater contribution due to greater sensitivity and detection of radiographically occult cases, computed tomography also has a good specificity at the time of diagnosis. Radiography at the beginning of the disease does not present evident changes and nuclear scintigraphy presents non-specific findings. In the first stage, the treatment is based on immobilization with a plaster cast or splints. When incomplete necrosis is evidenced in the second stage, conservative treatment can be performed, however with complete necrosis or in the third and fourth stage, it requires "joint leveling" surgery and probably vascular bone grafting or transfer of branches of adjacent arteries. Stage IIIA usually merits lunate restoration, in stage IIIB and Lichtman IV wrist arthrodesis can be used. Conclusions: Kienböck's disease presents with unilateral pain over the dorsal aspect of the wrist, weakness and limited wrist motion, in addition to functional impotence, decreased grip strength, wrist edema, sensory disturbances in the median nerve territory and synovitis, depending on the stage. It is related to the following variables such as ulnar minus or ulnar negative variation, vascular contribution of the lunate bone, morphology of the lunate, radial inclination angle. The diagnosis is clinical and imaging where Lichtman's classification is useful. Treatment will depend on the cause and also on the stage of the disease.

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Arthroscopic scaphocapitate fusion without bone graft; clinical and radiological outcomes

Ghoneim,

Kamal,

Semaya

et al. 2024

International Orthopaedics (SICOT)

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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. Methods The study included thirty patients with stage IIIB and IIIC Kienböck's disease. The articular surfaces were prepared using arthroscopic burr then fixed by Herbert screw. The mean follows up period was about 29 months. Results SCF was achieved in approximately seven weeks. There was a statistically significant difference in pre- and post-operative grip strength and Mayo wrist score. Conclusion According to our study findings, arthroscopic SCF may be performed with significant improvements and satisfactory clinical and functional results in patients with stage IIIB and IIIC Kienböck’s disease.

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Arthroscopic Scaphocapitate Fusion: Surgical Technique

Cited by 6 publications

References 11 publications

Artrodesis de muñeca

Artrodesis de muñeca

Kienböck's Disease, Avascular Necrosis of the Lunate

Arthroscopic scaphocapitate fusion without bone graft; clinical and radiological outcomes

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