The Biomechanical Effects of Simulated Radioscapholunate Fusion With Distal Scaphoidectomy, 4-Corner Fusion With Complete Scaphoidectomy, and Proximal Row Carpectomy Compared to the Native Wrist

Saiz, Augustine M.; Delman, Connor; Haffner, Max R.; Wann, Kathy; McNary, Sean M.; Szabo, Robert M.; Bayne, Christopher O.

doi:10.1016/j.jhsa.2021.02.028

Cited by 6 publications

(6 citation statements)

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“… 5 , 10 Other teams believe that resection of the distal pole of the scaphoid during radioscapholunar arthrodesis can prevent possible scaphotrapezotrapezoid osteoarthritis by removing the impingement and improving the rate of bone union. 2 , 3 , 5 The interest of arthroscopy remains an undeniable advantage in the conservation of articular amplitudes, in particular, during arthrodesis of the wrist. This article aims to show that it is possible to perform radioscapholunar arthrodesis arthroscopically and obtain a good fusion within the correct timeframe.…”

Section: Discussionmentioning

confidence: 99%

“… 1 The radiocarpal joint seems to play an important role in the mobility of the wrist, having an implication in midcarpal joint mobility, especially in the movements of flexion and extension. 2 , 3 These observations help to understand the painful and functional impact of the occurrence of radioscapholunar osteoarthritis. One of the most common treatments is radioscapholunar fusion, which has good functional results.…”

Section: Introductionmentioning

confidence: 95%

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Arthroscopic Radioscapholunate Fusion: Surgical Technique

Bargemon

Hadid

Hasegawa

et al. 2022

Arthroscopy Techniques

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

Arthroscopic Radioscapholunate Fusion: Surgical Technique

Bargemon

Hadid

Hasegawa

et al. 2022

Arthroscopy Techniques

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“…In order to optimise their outcomes, detailed knowledge of the biomechanical changes they cause in comparison to the native wrist is important. Several studies have quantified parameters including wrist range of motion, carpal bone motion, centre of rotation and muscle moment arms in pre- and post-surgical wrists ( Sobczak et al, 2011 ; Debottis et al, 2013 ; Hooke et al, 2015 ; Nichols et al, 2017 ; Rust, Manojlovich & Wallace, 2018 ; Shiga et al, 2018 ; Fan et al, 2021 ; Saiz et al, 2021 ). Due to the invasive nature of the surgeries and experimental techniques, studies are commonly performed in vitro using cadaveric specimens.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a cadaveric wrist motion simulator using marker-based X-ray reconstruction of moving morphology

Glanville,

Bates,

Brown

et al. 2024

PeerJ

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Surgical intervention is a common option for the treatment of wrist joint arthritis and traumatic wrist injury. Whether this surgery is arthrodesis or a motion preserving procedure such as arthroplasty, wrist joint biomechanics are inevitably altered. To evaluate effects of surgery on parameters such as range of motion, efficiency and carpal kinematics, repeatable and controlled motion of cadaveric specimens is required. This study describes the development of a device that enables cadaveric wrist motion to be simulated before and after motion preserving surgery in a highly controlled manner. The simulator achieves joint motion through the application of predetermined displacements to the five major tendons of the wrist, and records tendon forces. A pilot experiment using six wrists aimed to evaluate its accuracy and reproducibility. Biplanar X-ray videoradiography (BPVR) and X-Ray Reconstruction of Moving Morphology (XROMM) were used to measure overall wrist angles before and after total wrist arthroplasty. The simulator was able to produce flexion, extension, radioulnar deviation, dart thrower’s motion and circumduction within previously reported functional ranges of motion. Pre- and post-surgical wrist angles did not significantly differ. Intra-specimen motion trials were repeatable; root mean square errors between individual trials and average wrist angle and tendon force profiles were below 1° and 2 N respectively. Inter-specimen variation was higher, likely due to anatomical variation and lack of wrist position feedback. In conclusion, combining repeatable intra-specimen cadaveric motion simulation with BPVR and XROMM can be used to determine potential effects of motion preserving surgeries on wrist range of motion and biomechanics.

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“…Subsequently, proximal row carpectomy (PRC) gained popularity; notably, the lack of hardware requirement in PRC reduces the occurrence of complications, such as nonunion, that are reported to occur in up to 30% of 4CF series 3-5 . PRC also has been shown to confer superior wrist range of motion (ROM) compared with 4CF, albeit at the expense of altered and potentially increased contact forces that may predispose some patients to lunate fossa osteoarthritis 6 . Furthermore, PRC is generally reserved for patients without significant midcarpal osteoarthritis while 4CF does not have these limitations 7 .…”

mentioning

confidence: 99%

“…contact forces that may predispose some patients to lunate fossa osteoarthritis 6 . Furthermore, PRC is generally reserved for patients without significant midcarpal osteoarthritis while 4CF does not have these limitations 7 .…”

mentioning

confidence: 99%

Proximal Row Carpectomy with and without Capitate Resurfacing

Hones,

Rakauskas,

Hao

et al. 2024

JBJS Reviews

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Background: In wrist salvage, proximal row carpectomy (PRC) has increasingly shown superior outcomes to four-corner fusion (4CF). Furthermore, PRC with resurfacing capitate pyrocarbon implants (PRC + RCPIs) provides a treatment option that may allow patients to avoid 4CF or wrist arthrodesis and help restore natural joint function and distribute loads evenly across the implant, though RCPI has yet to be evaluated on a large scale. We aimed to compare outcomes between PRC and PRC + RCPI for the treatment of scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrists. Methods: A systematic review and meta-analysis was performed per Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed/MEDLINE, Embase, Web of Science, and Cochrane were queried for articles on PRC and PRC + RCPI performed for SLAC and SNAC wrist with minimum 12-month follow-up. Primary outcomes included wrist range of motion (ROM), grip strength, and outcome scores including Disabilities of Arm, Shoulder, and Hand (DASH) and QuickDASH scores, Patient-Rated Wrist and Hand Evaluation (PRWHE), and visual analog scale pain scores. Results: Twenty-two studies reporting on 1,804 wrists were included (1,718 PRC alone, 86 PRC + RCPI). PRC + RCPI was associated with greater postoperative radial deviation, but poorer flexion. PRC + RCPI also had significantly lower postoperative QuickDASH (less disability and symptoms) and postoperative PRWHE (lower pain and disability) scores and an improvement in PRWHE compared with PRC. There was no significant difference in grip strength. Conclusion: PRC + RCPI demonstrated similar postoperative ROM to PRC alone. While PRC + RCPI was associated with more favorable outcome scores, further research is needed to confirm these findings and assess the incidence and profile of complications related to RCPIs. Level of Evidence: Level IV. See Instructions for Authors for a complete description of levels of evidence.

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The Biomechanical Effects of Simulated Radioscapholunate Fusion With Distal Scaphoidectomy, 4-Corner Fusion With Complete Scaphoidectomy, and Proximal Row Carpectomy Compared to the Native Wrist

Cited by 6 publications

References 40 publications

Arthroscopic Radioscapholunate Fusion: Surgical Technique

Arthroscopic Radioscapholunate Fusion: Surgical Technique

Evaluation of a cadaveric wrist motion simulator using marker-based X-ray reconstruction of moving morphology

Proximal Row Carpectomy with and without Capitate Resurfacing

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