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Related Experiment Videos

Scapholunate advanced collapse wrist salvage

D Ashmead1, H K Watson, C Damon

  • 1Connecticut Combined Hand Surgery Service, Hartford Hospital, University of Connecticut, Newington Children's Hospital.

The Journal of Hand Surgery
|September 1, 1994
PubMed
Summary

Scaphoid excision and limited wrist arthrodesis offers a salvage option for scapholunate advanced collapse (SLAC) wrist, preserving radiolunate function. This procedure provides good pain relief and functional recovery, allowing patients to return to work and activities.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Wrist Reconstruction

Background:

  • Scapholunate advanced collapse (SLAC) wrist often necessitates salvage procedures.
  • The SLAC pattern typically spares the radiolunate articulation, offering a potential for joint preservation.

Purpose of the Study:

  • To evaluate the efficacy of scaphoid excision and limited wrist arthrodesis in treating SLAC wrist.
  • To assess functional outcomes, patient satisfaction, and radiolunate joint preservation.

Main Methods:

  • A retrospective review of 100 patients undergoing scaphoid excision and limited wrist arthrodesis.
  • Follow-up included functional assessments, patient-reported outcomes, and radiographic evaluation of the radiolunate joint.

Main Results:

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  • Excellent functional status and high patient satisfaction were reported after an average follow-up of 44 months.
  • Most patients returned to their previous employment and recreational activities with good to excellent pain relief.
  • Average range of motion and grip strength were significantly improved, with 98% demonstrating preserved radiolunate joints.

Conclusions:

  • Scaphoid excision and limited wrist arthrodesis is an effective salvage procedure for SLAC wrist.
  • The technique preserves radiolunate joint integrity and leads to favorable functional outcomes and patient satisfaction.
  • Careful technique, particularly capitolunate alignment, can minimize complications like dorsal impingement.