Arthroscopic-Assisted Partial Wrist Arthrodesis

Baur, Eva‐Maria

doi:10.1016/j.hcl.2017.07.013

Cited by 33 publications

(26 citation statements)

References 22 publications

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“…Altogether three out of eight wrists (37.5%) required a reoperation in comparison to 0 to 44% reported in open surgeries 1,22,33,[35][36][37][38] and 8 to 20% reported in earlier A-PWAs. 27,31 Our overall patient satisfaction compares decently with the prevalences of 60 to 100% that have been cited. 1,11,14,22 Both of the dissatisfied patients underwent a reoperation, one for ruptured tendon reconstruction and one for scaphoid remnant removal.…”

Section: Discussionmentioning

confidence: 73%

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The Learning Curve and Pitfalls of Arthroscopic Four-Corner Arthrodesis

2019

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Background Midcarpal “four-corner” wrist arthrodesis may be done from an open arthrotomy or arthroscopically. Purpose This study aimed to examine the results of the recently described arthroscopic four-corner arthrodesis and whether the procedure seems to have any merit compared with the open technique. Patients and Methods We retrospectively identified eight patients with nine cases of arthroscopic four-corner arthrodesis performed at our institution, 2014 to 2017. The underlying pathologies were scapholunate advanced collapse (n = 6), Preiser's disease (n = 1), radioscaphoid (n = 1), or capitolunar (n = 1) osteoarthritis. Osteosynthesis was done with cannulated compression screws. Results Operating time for the first surgery was 198 minutes while the final one lasted 132 minutes. All patients achieved fusion. Three patients required a reoperation; one for screw malposition with screw removal, one for tendon reconstruction and screw removal due to a tendon injury induced by a retracted screw, and one for scaphoid impingement with removal of the scaphoid remnants. One patient experienced a probable superficial radial nerve injury. The follow-up time was 5 to 16 months. Conclusion The arthroscopic approach is technically extremely demanding and has a learning curve. Thorough resection of the scaphoid is recommended to avoid potential impingement. Level of Evidence This is a level IV, retrospective case series.

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Section: Discussionmentioning

confidence: 73%

“…Complications included two screwrelated problems and one case of neoscaphoid formed from bone graft. 31 To our knowledge no study has examined the long-term results of A-4CA. Ho averaged a follow-up period of 70 months after which little to no wrist pain was reported.…”

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confidence: 99%

The Learning Curve and Pitfalls of Arthroscopic Four-Corner Arthrodesis

2019

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“…Wrist arthroscopy has steadily grown from a predominantly diagnostic tool to a valuable adjunctive procedure in the treatment of myriad wrist disorders. The wide list of indications for wrist arthroscopy is continuously growing and includes basic treatment of soft tissue pathologies as synovitis, fibrosis, stiffness, ganglia, management of triangular fibrocartilage complex (TFCC) tears, scapholunate and lunotriquetral ligament injuries and removal of loose bodies [8][9][10] . Osseous procedures include partial bone resections in scaphotrapeziotrapezoid (STT) and ulnocarpal or ulnostyloid impaction syndrome 7,11 .…”

Section: Introductionmentioning

confidence: 99%

“…Arthroscopically assisted osteotomy in intra-articular distal radius malunions, treatment of scaphoid nonunions and arthroscopic arthrolysis has been described 5,15 . Arthroscopic decompression of the lunate for Kienböck's disease, arthroscopically assisted partial wrist fusions and arthroscopic proximal row carpectomy have been described 9,16 .…”

Section: Introductionmentioning

confidence: 99%

“…More complex conditions, such as perilunate dislocations, could be treated in a minimally invasive manner by arthroscopic-assisted procedures as well 20 . Another example is the quite aggressive open partial or total wrist arthrodesis procedures, which now could also be performed arthroscopically 9,21 . Thirdly, the use of wrist arthroscopy could aid the diagnosis of many complex wrist conditions 8 .…”

Section: Introductionmentioning

confidence: 99%

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Clinical and Epidemiological Features Among Patients with Wrist Arthroscopy Surgery: A Hospital‐based Study in China

Yin

Liu

Zhu

et al. 2020

Orthopaedic Surgery

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Propose To analyze the clinical and epidemiological features of patients who underwent wrist arthroscopy procedures. Methods This is a cross‐sectional epidemiological study. The study included a cohort of patients who underwent wrist arthroscopy procedures in a national orthopaedic referral center from 1 February, 2014 to 1 February, 2019. The medical records, diagnosis, and every wrist arthroscopy procedure of all the patients were collected and reviewed. The epidemiological features, detail of the diagnoses, and the procedures of all the patients were systemically analyzed. All the patients were divided into two groups: trauma and non‐trauma conditions. The complexity of the wrist arthroscopy procedure was classified into simple procedures (exploration or debridement) and complex procedures (repair or reconstruction). χ2 test was used to compare proportions between the procedures of different complexity and the two groups of patients. Results A total of 533 patients (332 males and 201 females) were included in this study. More than half (56%) of the patients were in the age group 21–40 and nearly two thirds (62%) of all the 533 patients were male. The diagnoses of all the patients could be classified into eight categories: (i) TFCC injury; (ii) ulnar impactions syndrome; (iii) carpal trauma (carpal bone fractures and/or carpal ligament injures); (iv) distal radius fractures; (v) carpal bone cyst or necrosis; (vi) ganglion cyst; (vii) wrist arthritis; and (viii) disorders of small joint of the hand. The most common conditions treated with wrist arthroscopy were TFCC injury (172 cases), followed by carpal trauma (125 cases) and ulnar impaction syndrome (84 cases). The simple arthroscopic procedures (exploration or debridement) account for 53% of all the procedures while complex reparative or reconstructive procedures account for 47%. There was a significant difference in the proportion between simple procedures and complex procedures in both trauma and non‐traumatic patients. Repair or reconstruction procedures were more frequently performed for wrist trauma patients, whereas exploration or debridement procedures were more frequently performed for non‐trauma patients. Conclusions The largest group of patients who underwent wrist arthroscopy surgery are those who complained of ulnar‐sided wrist pain and the commonly conducted wrist arthroscopy procedures have evolved from simple exploration/debridement to the more complex repair or reconstruction procedures in China.

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Wrist Arthritis

Donndorff

2024

Orthopaedics and Trauma

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Arthroscopic-Assisted Partial Wrist Arthrodesis

Cited by 33 publications

References 22 publications

The Learning Curve and Pitfalls of Arthroscopic Four-Corner Arthrodesis

The Learning Curve and Pitfalls of Arthroscopic Four-Corner Arthrodesis

Clinical and Epidemiological Features Among Patients with Wrist Arthroscopy Surgery: A Hospital‐based Study in China

Wrist Arthritis

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