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[Radioscapholunate fusion: long-term results]
M Kilgus1, D Weishaupt, W Künzi
1Klinik für Wiederherstellungschirurgie, Universitätsspital Zürich, Zürich Switzerland. martin.kilgus@chi.usz.ch
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|October 25, 2003
Summary
Long-term radiocarpal arthrodesis in five patients demonstrated high satisfaction and functional recovery, even in young manual laborers. This procedure offers a viable solution for painful radiocarpal arthrosis.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Wrist Arthodesis
Background:
- Limited long-term data exists for Gordon and King's radiocarpal arthrodesis technique.
- Evaluating the suitability of this procedure for radiocarpal arthrosis, particularly in younger patients, is crucial.
Observation:
- Five patients (1978-1984) underwent partial radiocarpal arthrodesis and were re-examined clinically and radiologically in 1990 and 2000.
- All patients reported high satisfaction, with two being pain-free and three experiencing minor pain on strain.
Findings:
- Sustained range of motion (mean 60° dorsopalmar, 30° ulnoradial, 162° pro-/supination) was observed.
- Radiological imaging confirmed osseous consolidation and noted minor distal radioulnar joint degenerative changes.
- Complete return to demanding manual labor was achieved by all patients.
Implications:
- Radiocarpal arthrodesis, when indicated and performed correctly, yields satisfying long-term outcomes.
- This technique is suitable for young manual laborers with radiocarpal arthrosis due to various causes like distal radius fractures, scaphoid non-union, and Kienbock's disease.