APSI scaphoid hemiarthroplasty - long-term results.

Area of Science:

• Orthopedic Surgery
• Hand Surgery
• Trauma Surgery

Background:

• Post-traumatic avascular necrosis of the scaphoid proximal pole is a challenging condition.
• Hemiarthroplasty is a surgical option to restore wrist function.
• Evaluating long-term outcomes is crucial for treatment decision-making.

Purpose of the Study:

• To assess the long-term efficacy and safety of proximal scaphoid hemiarthroplasty.
• To evaluate functional outcomes and complications in patients treated for avascular necrosis.

Main Methods:

• A retrospective review of 12 patients who underwent proximal scaphoid hemiarthroplasty.
• Mean follow-up of 6.5 years (range: 5-8 years).
• Assessment of complications, pain, range of motion, Mayo Wrist Score, and QuickDASH Score.

Main Results:

• No immediate post-operative complications were noted.
• All patients showed peri-implant osteolysis on radiographs.
• Satisfactory functional capacity (mean Mayo Wrist Score: 67.5) and acceptable disability (mean QuickDASH Score: 25) were observed.

Conclusions:

• Proximal scaphoid hemiarthroplasty with a pyrocarbon implant is a safe and effective treatment.
• The procedure yields satisfactory functional results at long-term follow-up.
• This technique is a viable option for post-fracture avascular necrosis of the scaphoid proximal pole.