Traitement de l'arthrose scaphotrapézotrapézoidienne isolée par arthrodèse scaphotrapézotrapézoidienne: une série de 13 cas

Goubier, J.-N.; Bauer, Bertrand; Alnot, J.Y.; Teboul, F.

doi:10.1016/j.main.2006.09.004

Cited by 21 publications

(8 citation statements)

References 21 publications

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“…STT arthrodesis has long been used and provides good results in the medium and long term on pain, functional scores, and strength. 12,[27][28][29][30][31] However, this procedure is not free from complications; nonunion has been reported in 0 to 31% of cases 12,27,[30][31][32][33] while radiocarpal and/or midcarpal OA degeneration also occurs. [33][34][35][36] It seems to be a good choice if DISI malalignment is present and for heavy manual workers.…”

Section: Discussionmentioning

confidence: 99%

Pyrocardan Scaphotrapeziotrapezoid Joint Arthroplasty for Isolated Osteoarthritis: Results after a Mean Follow-Up of 5 Years

et al. 2021

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Background Isolated scaphotrapeziotrapezoid (STT) osteoarthritis (OA) mainly develops in women over 50 years of age in a bilateral manner. Many surgical treatments are available, including distal scaphoid resection with or without interposition, trapeziectomy, and STT arthrodesis. However, there is a controversy about which procedure is the most effective. Purposes The purpose of this study was to report the outcomes of the Pyrocardan implant for treating STT isolated OA at a mean follow-up of 5 years. Patients and Methods Consecutive patients who underwent STT arthroplasty using the Pyrocardan were reviewed retrospectively by an independent examiner who performed a clinical and radiological evaluation. Results The mean follow-up time was 5 years (range 3–8 years). Thirteen patients (76%) were followed for more than 5 years. Between the preoperative assessment and the last follow-up, pain levels decreased significantly. There was no significant difference in the mean Kapandji opposition score. Grip and pinch strengths were 88 and 91% of the contralateral side. The active range of motion in flexion–extension and radioulnar deviation was not significantly different to the contralateral side (119° vs. 121° and 58° vs. 52°, p > 0.1). Functional scores were improved significantly. No identifiable differences were found in the radioscaphoid, capitolunate, and scapholunate angles before and after surgery. In three cases, the preoperative dorsal intercalated scapholunate instability (DISI) failed to be corrected. In one case, DISI appeared after the procedure. There was one asymptomatic dislocation of the implant. Calcification around the trapezium and/or distal scaphoid was found in four cases. The survival rate of the implant without reoperation was 95%. Conclusions In the medium term, Pyrocardan implant is an effective treatment for STT OA as it reduces pain, increases grip strength, and maintains wrist mobility. This is consistent with the results of other published case series using pyrocarbon implants. It provides a high rate of patient satisfaction. Nevertheless, the surgical procedure must be done carefully to avoid STT ligament damage, periarticular calcifications, or dislocation.

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Section: Discussionmentioning

confidence: 99%

Pyrocardan Scaphotrapeziotrapezoid Joint Arthroplasty for Isolated Osteoarthritis: Results after a Mean Follow-Up of 5 Years

et al. 2021

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“…necrosis, progressive carpal instability, styloscaphoid impingement and persistence of pain secondary to overload in the radioscaphoid compartment. The average nonunion rate in relevant published studies ranges from 4% for Watson et al 50 to 31% for Goubier et al 49 Roger and Watson 51 found a styloid impingement rate of 33%. They attributed this fact to the limitation of the scaphoid to flex when a radial deviation of the wrist occurs, causing impingement.…”

Section: Scapho-trapezio-trapezoid Arthrodesismentioning

confidence: 96%

“…Various authors 48 report good clinical results regarding range of motion, decreased pain and good grip capacity. However, various complications are also reported, 49 such as avascular Fig. 12 Lunate-capitate arthrodesis.…”

Section: Scapho-trapezio-trapezoid Arthrodesismentioning

confidence: 99%

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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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“…Triscaphoid arthrodesis is an established treatment option for symptomatic osteoarthritis of the scaphotrapezotrapezoideal joint [ 1 , 2 ]. Long-term effects of the hereby diverted force transmission can be arthritic changes of the adjacent carpal joints [ 2 , 3 ], so that the younger the patient is, the more probable the need for revision surgery is.…”

Section: Introductionmentioning

confidence: 99%

A Case of Implant Failure in Partial Wrist Fusion Applying Magnesium-Based Headless Bone Screws

Wichelhaus

Emmerich

Mittlmeier

2016

Case Reports in Orthopedics

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This article presents a case of implant failure resulting in mechanical instability of a scaphotrapezotrapezoideal arthrodesis using magnesium-based headless bone screws. During revision surgery osteolysis surrounding the screws was observed as well as degraded screw threads already in existence at 6 weeks after implantation. The supposed osseous integration attributed to magnesium-based screws could not be reproduced in this particular case. Thus, it can be reasoned that the use of magnesium-based screws for partial wrist arthrodesis cannot be encouraged, at least not in dual use.

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Traitement de l'arthrose scaphotrapézotrapézoidienne isolée par arthrodèse scaphotrapézotrapézoidienne: une série de 13 cas

Cited by 21 publications

References 21 publications

Pyrocardan Scaphotrapeziotrapezoid Joint Arthroplasty for Isolated Osteoarthritis: Results after a Mean Follow-Up of 5 Years

Pyrocardan Scaphotrapeziotrapezoid Joint Arthroplasty for Isolated Osteoarthritis: Results after a Mean Follow-Up of 5 Years

Artrodesis de muñeca

A Case of Implant Failure in Partial Wrist Fusion Applying Magnesium-Based Headless Bone Screws

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