Excisional Arthroplasty for Scaphotrapeziotrapezoidal Osteoarthritis

García-Elias, Marc

doi:10.1016/j.jhsa.2010.12.016

Cited by 41 publications

(26 citation statements)

References 13 publications

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“…Usually, the STT joint arthroplasty is performed with a traditional open approach and not under arthroscopy as in this case. 20 The traditional procedure is relatively simple and reliable, but do not give the same view as the arthroscopic one. The open technique showed good results, comparable in the long term with the one we proposed, but in the short term, it seems that the arthroscopic technique is slightly better and allows to perform a better resection of the distal pole of the scaphoid, especially on the anterior portion that cannot be visualized as well during a traditional open arthroplasty procedure.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Resection of Distal Pole of the Scaphoid for Scaphotrapeziotrapezoid Joint Arthritis: Comparison between Simple Resection and Implant Interposition

Pegoli¹,

Pozzi²,

Pivato

et al. 2016

Jnl Wrist Surg

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Section: Discussionmentioning

confidence: 99%

Arthroscopic Resection of Distal Pole of the Scaphoid for Scaphotrapeziotrapezoid Joint Arthritis: Comparison between Simple Resection and Implant Interposition

Pegoli¹,

Pozzi²,

Pivato

et al. 2016

Jnl Wrist Surg

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“…3,10,30 Isolated arthroscopic debridement with synovectomy and osteophyte resection has demonstrated good results in the short term, with 90% of satisfaction in 3 years, but its long-term evolution and the use in advanced stages of the disease are not known. 41 Another treatment option, as proposed by Garcia-Elias et al, [42][43][44] is the resection of the distal pole of the scaphoid. It requires less immobilization time and has fewer complications than arthrodesis, but can create midcarpal instability and DISI deformity, or even worsen such problems if already existent.…”

Section: Discussionmentioning

confidence: 99%

“…30,[45][46][47] Most authors nowadays recommend the association of some type of carpal stabilization to the distal scaphoid resection. 10,[42][43][44] Some authors propose the use of metal interposition arthroplasties for such a purpose. 15,18,48,49 Other authors have shown good results with distal resection of the scaphoid by arthroscopy.…”

Section: Discussionmentioning

confidence: 99%

Introducing the “SOAC Wrist”: Scaphotrapeziotrapezoid Osteoarthritis Advanced Collapse

Oliveira¹,

Aita

Brunelli

et al. 2020

Revista Iberoamericana de Cirugía de la Mano

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Despite being the second most common osteoarthritis of the wrist, little is known about scaphotrapeziotrapezoid osteoarthritis. Not all patients with this type of osteoarthritis have symptoms, and, even in those symptomatic patients, the intensity of the complaint is not proportional to the severity of the degeneration. In symptomatic patients, when the conservative treatment fails, grading classifications to help define the surgical treatment are solely based on the joint characteristics, and fail to assess the rest of the carpus.In general, most carpal degenerative processes show the same evolution pattern, which varies according to the initial injury, along with the type of deformity and the inherent instabilities. Thus, we hypothesize that the degenerative evolution due to primary osteoarthritis of the scaphotrapeziotrapezoid joint also follows a logical evolutionary sequence, similar to the one that occurs in cases of scapholunate advanced collapse (SLAC), scaphoid nonunion advanced collapse (SNAC), scaphoid malunion advanced collapse (SMAC), and scaphoid chondrocalcinosis advanced collapse (SCAC), thus resulting in scaphotrapeziotrapezoid osteoarthritis advanced collapse (SOAC). We have divided the SOAC into three groups, and considered that their treatment shall be guided by the evolutionary stage of the disease, and not by the surgeon's preferred technique.

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“…Desde la existencia de la artroscopia de muñeca, varias indicaciones quirúrgicas han cambiado radicalmente en su enfoque, gracias a las posibilidades terapéuticas mínimamente invasivas de la artroscopia. Sin lugar a dudas, una de ellas ha sido la del tratamiento de la artrosis STT 4,5 , que permite realizar mínimas resecciones del polo distal del escafoides conservando la propiocepción y con la mínima desestabilización ligamentosa.…”

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Resección artroscópica del polo distal del escafoides en la artrosis escafo-trapecio-trapezoidea

Sintes¹

2013

Rev Iberoam Cir Mano

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La artrosis escafo-trapecio-trapezoidea se asocia frecuentemente a una inestabilidad carpiana. En dichas ocasiones el tratamiento quirúrgico abierto mediante la resección simple del polo distal puede ocasionar un colapso carpiano. El uso de la artroscopia para la resección del polo distal del escafoides permite, no solo la resección del polo distal a través de un abordaje mínimamente invasivo, sino también la evaluación y posible tratamiento de inestabilidades carpianas asociadas. En el presente trabajo se detalla la técnica quirúrgica para realizar la resección del polo distal del escafoides de forma artroscópica a través de tres portales artroscópicos.

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Excisional Arthroplasty for Scaphotrapeziotrapezoidal Osteoarthritis

Cited by 41 publications

References 13 publications

Arthroscopic Resection of Distal Pole of the Scaphoid for Scaphotrapeziotrapezoid Joint Arthritis: Comparison between Simple Resection and Implant Interposition

Arthroscopic Resection of Distal Pole of the Scaphoid for Scaphotrapeziotrapezoid Joint Arthritis: Comparison between Simple Resection and Implant Interposition

Introducing the “SOAC Wrist”: Scaphotrapeziotrapezoid Osteoarthritis Advanced Collapse

Resección artroscópica del polo distal del escafoides en la artrosis escafo-trapecio-trapezoidea

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