Comparison of proximal row carpectomy and midcarpal arthrodesis for the treatment of scaphoid nonunion advanced collapse (SNAC-wrist) and scapholunate advanced collapse (SLAC-wrist) in stage II

Dacho, Andreas; Baumeister, Steffen; Germann, G.; Sauerbier, Michael

doi:10.1016/j.bjps.2007.08.007

Cited by 133 publications

(105 citation statements)

References 31 publications

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“…The results of this study have caused us to be more cautious in offering PRC as an option to young laborers. Similar recommendations have been made by Dacho's and others, who recommended against PRC for patients engaged in heavy lifting or manual laborers [6,6,12].…”

Section: Discussionmentioning

confidence: 56%

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Long-Term Outcomes of Proximal Row Carpectomy: A Minimum of 15-Year Follow-up

Ali

Rizzo

Shin

et al. 2011

Hand (New York, N,Y.)

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Introduction Proximal row carpectomy (PRC) is a popular procedure for the treatment of wrist arthritis; however, the long-term clinical outcomes of this procedure are not wellcharacterized. The purpose of this study was to evaluate long-term results with PRC and to identify factors that may improve clinical outcomes. Methods A retrospective study was performed on all patients who underwent proximal row carpectomy between January 1967 and January 1992. Medical records and available radiographs were reviewed. The Disabilities of the Arm, Shoulder and Hand, and Patient Rated Wrist Exam, as well as hand motion diagrams were sent to all surviving patients. The contralateral extremity was used as a control. Data was analyzed using multivariant analysis and a Student's t test. Results Eighty-one patients underwent PRC. Average age at the time of surgery was 41 years. Average follow-up was 19.8 years. Sixty-one patients responded to the questionnaires. On final follow-up, wrist motion and grip strength were not significantly different from preoperative values. Radiographic follow-up beyond 2 years revealed joint narrowing and arthritic changes within the radiocapitate joint. Forty-six patients (74%) were not satisfied with the results of their surgery due to persistent pain or inability to return to previous occupational activities. Fifty-two patients required daily pain medication for wrist pain. Twelve patients had undergone a wrist arthrodesis. Conclusions Post-operative motion and grip strength values following PRC appear to remain stable over time. Surgical failure rates with conversion to wrist fusion occurred early within the post-operative follow-up. Many patients continued to complain of pain requiring daily medication and were unable to return to manual labor type jobs. The results of this study suggest that long-term patient satisfaction following PRC can be poor and the surgeon may wish to consider alternative treatment options for younger patients and those with high-demand jobs.

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Section: Discussionmentioning

confidence: 56%

“…Richou and colleagues reported a final DASH score of 31 in 24 patients followed for an average of 116 months [26]. Dacho noted a DASH score of 25 in 30 patients followed for 27 months [6]. Kremer noted a DASH scores of 26 in 45 patients followed for 32 months [20].…”

Section: Discussionmentioning

confidence: 99%

Long-Term Outcomes of Proximal Row Carpectomy: A Minimum of 15-Year Follow-up

Ali

Rizzo

Shin

et al. 2011

Hand (New York, N,Y.)

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“…We thus believe that proximal row carpectomy should be preferred if both procedures are indicated. Only in specified situations, such as for patients carrying out heavy manual work, do some researchers recommend midcarpal arthrodesis due to the better grip strength postoperatively [17].…”

Section: Discussionmentioning

confidence: 99%

Clinical evaluation of proximal row carpectomy revealed by follow-up for 10–29 years

Liu

Zhou

Yang

et al. 2009

International Orthopaedics (SICOT)

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To investigate the long-term clinical results of proximal row carpectomy for treating chronic wrist injuries, we collected the postoperative results of ten patients who underwent this procedure between 1978 and 1996. The evaluation was based on Gartland and Werley and modified Green and O'Brien scoring systems. The follow-up ranged from ten to 29 years. Nine patients could perform daily activities properly, two experienced occasional pain and one moderate pain. Eight patients were rated as excellent, two were good, while none was fair or poor by the former scoring system. Seven patients were rated as good, three were fair and none was excellent or poor by the latter scoring system. No apparent degenerative change was found in the radiocapitate joints apart from a slight change in one patient. The operation is a dependable and durable procedure that results in satisfactory pain relief, improved functional wrist motion and grip strength, allowing most patients to resume their previous work.

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“…Dacho et al looked at a group of 47 patients who showed increased arc of motion of 14°with PRC; however, there was increased grip strength with four-corner arthrodesis (72 % vs. 50 % of the contralateral side). They concluded that PRC was more favorable for those patients who required less grip strength for work [56].…”

Section: Prc Versus Four-corner Arthrodesismentioning

confidence: 99%

Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrist arthritis

Shah

Stern

2013

Curr Rev Musculoskelet Med

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Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) are the two most common patterns of posttraumatic wrist arthritis. This review discusses the etiology and clinical evaluation, as well as up-to-date treatment options, for both of these conditions. Classic as well as newer innovative techniques are discussed with clinical outcomes in order to provide an evidence-based review of the world's literature on SLAC/SNAC wrist.

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Comparison of proximal row carpectomy and midcarpal arthrodesis for the treatment of scaphoid nonunion advanced collapse (SNAC-wrist) and scapholunate advanced collapse (SLAC-wrist) in stage II

Cited by 133 publications

References 31 publications

Long-Term Outcomes of Proximal Row Carpectomy: A Minimum of 15-Year Follow-up

Long-Term Outcomes of Proximal Row Carpectomy: A Minimum of 15-Year Follow-up

Clinical evaluation of proximal row carpectomy revealed by follow-up for 10–29 years

Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrist arthritis

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