Results of Four-Corner Arthrodesis Using Dorsal Circular Plate Fixation

Kendall, Corey B.; Brown, Timothy R.; Millon, S. John; Rudisill, L. Edwin; Sanders, John; Tanner, Stephanie L.

doi:10.1016/j.jhsa.2005.04.007

Cited by 110 publications

(127 citation statements)

References 12 publications

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“…In 1999, a metallic circular plate was introduced to provide a simple and sturdy method of internal fixation that might tolerate earlier mobilization of the wrist while also resulting in higher rates of fusion. Early enthusiasm for the implant, however, was dampened by reports of high rates of complications [2,4,9,11]. The results of our study are more in line with the more recently published results of Merrell et al, with a 100% rate of union with low morbidity and good function [6].…”

Section: Discussionsupporting

confidence: 89%

“…Better functional outcomes were anticipated. However, reports of early results using the circular plate suggest higher complication rates when compared with traditional fixation techniques, including nonunion (25%-39%), implant breakage or back-out (7%-27%), and hardware impingement (22%-25%) [2,4,9,11]. Although higher fusion rates and fewer complications have been reported more recently by the developer of the device [6], some uncertainty exists regarding the effectiveness of circular plates because of the number of published reports to the contrary [2,4,9,11].…”

Section: Introductionmentioning

confidence: 99%

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High Fusion Rates with Circular Plate Fixation for Four-corner Arthrodesis of the Wrist

Bedford

Yang

2010

Clinical Orthopaedics &Amp; Related Research

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Background Scaphoid excision and four-corner fusion is commonly performed to reconstruct advanced scapholunate collapse and scaphoid nonunion with collapse. Metallic plates were introduced for achieving fixation of the four carpal bones. Although the developer reported high rates of fusion, several other early reports of circular plate fixation suggest higher complication rates and inferior outcomes compared with traditional fixation techniques. Questions/PurposesTo clarify the controversy in the literature we determined the fusion rates, complications, and functional outcomes of patients having circular plate fixation for four-corner fusion. Methods We retrospectively reviewed 15 patients treated for radioscaphoid arthritis with four-corner fusion using circular plate fixation. The minimum followup was 11 months (mean, 22 months; range, 11-39 months). ResultsRadiographic union was achieved by all 15 patients. There was only one postoperative complication. ROM was 71% and grip strength was 78% of the opposite normal side.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

High Fusion Rates with Circular Plate Fixation for Four-corner Arthrodesis of the Wrist

Bedford

Yang

2010

Clinical Orthopaedics &Amp; Related Research

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“…Previous evaluations of the Spider Plate have not controlled for this very important variable. In the study of Kendall et al [4], the bone graft source for 94% of their patients was either the excised scaphoid (16 of 18) or allograft (1 of 18). Likewise, Vance and colleagues [10] used the excised scaphoid in 20 of 27 patients (74%) who received the Spider Plate versus only 5 of 31 (16%) patients who received traditional fixation.…”

Section: Discussionmentioning

confidence: 99%

Scaphoid Excision and Limited Wrist Fusion: A Comparison of K-Wire and Circular Plate Fixation

Rodgers

Holt²,

Finnerty

et al. 2008

Hand (New York, N,Y.)

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The purpose of this study was to compare the clinical outcome, union rate, and complications of a consecutive series of Scaphoid excision and limited wrist arthrodesis performed by a single surgeon using distal radius bone graft and K-wires or circular plate fixation. A sequential series of ten patients(11 wrists) who were stabilized with temporary K-wires were compared to 11 patients (11 wrists) who were stabilized with a circular plate. Minimum follow-up was 1 year. One patient in the Kwire group was converted to a wrist fusion. Six of the remaining ten patients in the K-wire fixation group and 8 of the 11 patients in the circular plate fixation group returned for the following blinded evaluations: Quick DASH, analog pain scale, range of motion, grip and pinch strength, plain x-ray, and multi-detector computed tomography evaluation. One non-union occurred in the K-wire group. There were no non-unions in the circular plate fixation group. There was no difference in any of remaining measures or rate of complications. This study shows that equivalent results can be obtained using circular plate fixation compared to Kwires when equivalent bone graft source and fusion technique are used. If K-wire removal requires a return to the OR, circular plate fixation is more cost-effective.

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“…Radiographic union was achieved in only 3 of these patients (63 % nonunion rate), and ROM, 46 % of contralateral, as well as grip strength, 56 % of contralateral, were inferior to the results previously reported for K-wire fixation [31]. As reported by Vance et al, 58 patients undergoing four-corner arthrodesis either by plate fixation (n027) or by traditional fixation (n031) were compared.…”

Section: Four-corner Arthrodesis-circular Platesmentioning

confidence: 90%

Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrist arthritis

Shah

Stern

2013

Curr Rev Musculoskelet Med

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Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) are the two most common patterns of posttraumatic wrist arthritis. This review discusses the etiology and clinical evaluation, as well as up-to-date treatment options, for both of these conditions. Classic as well as newer innovative techniques are discussed with clinical outcomes in order to provide an evidence-based review of the world's literature on SLAC/SNAC wrist.

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Results of Four-Corner Arthrodesis Using Dorsal Circular Plate Fixation

Cited by 110 publications

References 12 publications

High Fusion Rates with Circular Plate Fixation for Four-corner Arthrodesis of the Wrist

High Fusion Rates with Circular Plate Fixation for Four-corner Arthrodesis of the Wrist

Scaphoid Excision and Limited Wrist Fusion: A Comparison of K-Wire and Circular Plate Fixation

Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrist arthritis

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