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Pyrocarbon interposition after capitate head resection.

Mathieu Ferrand1, Philippe Bellemere1

  • 1Nantes Assistance Main, Clinique Jeanne d'Arc, Nantes, France.

Journal of Wrist Surgery
|January 18, 2014
PubMed
Summary
This summary is machine-generated.

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Isolated lunocapitate disease, a rare wrist condition, involves capitolunate arthritis and capitate osteonecrosis. Resection and capitolunate implant interposition show promising outcomes in a small case series.

Area of Science:

  • Orthopedic surgery
  • Hand and wrist surgery
  • Reconstructive surgery

Background:

  • Isolated lunocapitate disease is a rare condition affecting the wrist.
  • It encompasses both capitolunate arthritis and osteonecrosis of the capitate head.
  • Current management strategies for this pathology are not well-defined.

Observation:

  • A case series involving three patients with isolated lunocapitate disease was analyzed.
  • Treatment involved resection of the capitate head.
  • A capitolunate Pi(2) implant was interposed following resection.

Findings:

  • The surgical intervention demonstrated encouraging results.
  • The average follow-up period was 4.8 years.
  • This approach offers a potential alternative to other procedures like four-corner fusion.
Keywords:
capitolunate jointosteonecrosispyrocarbon

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Implications:

  • This study suggests a viable surgical option for managing isolated lunocapitate disease.
  • Further research with longer follow-up is warranted to confirm efficacy.
  • The capitolunate Pi(2) implant may preserve wrist function compared to fusion techniques.