Four-Corner Arthrodesis with a Radiolucent Locking Dorsal Circular Plate: Technique and Outcomes

Rudnick, Benjamin; Goljan, Peter; Pruzansky, Jason S.; Bachoura, Abdo; Jacoby, Sidney M.; Rekant, Mark S.

doi:10.1007/s11552-014-9617-y

Cited by 20 publications

(21 citation statements)

References 20 publications

(30 reference statements)

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“…As consequence, the NLDP were ousted by the new generation of internal fixation method: LDP (locking dorsal plates) in different designs and variations (like the here used Variable Angle Locking Intercarpal Fusion Plate by Synthes ® ) [13], [21]. …”

Section: Discussionmentioning

confidence: 99%

“…Rudnick et al presented a fusion rate of 80% by using the Xpode ® Cup as variant of a LDP (total of 26 operated wrists in 24 patients) [21]. They reported of one case in which a complete wrist arthrodesis had to be performed due to persisting pain and the development of radiolunate arthritis.…”

Section: Discussionmentioning

confidence: 99%

“…They reported of one case in which a complete wrist arthrodesis had to be performed due to persisting pain and the development of radiolunate arthritis. There were also two cases of screw break-out [21]. Furthermore, five patients imposed with necessity for further surgical treatment because of dorsal adhesion of joint capsule, persisting pain within material conflict and/or impingement symptoms [21].…”

Section: Discussionmentioning

confidence: 99%

“…However, there is disagreement concerning the best osteosynthesis material for this surgery [3], [16], [18], [19], [20], [21], [22], [23], [24], [25], [26]. While traditionally Kirschner wires, staples or compression screws have been used, in 1999 circular plates were introduced, promising better results [27].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Four-corner arthrodesis of the wrist using Variable Angle Locking Compression Intercarpal Fusion Plate (VA LCP ICF Plate; Synthes ® ): pre- and postoperative radiological analysis and clinical outcome in long-term evaluation

Eder

Scheller

Schwab

et al. 2019

GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW; 8:Doc15

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Four-corner arthrodesis of the wrist using Variable Angle Locking Compression Intercarpal Fusion Plate (VA LCP ICF Plate; Synthes ® ): pre- and postoperative radiological analysis and clinical outcome in long-term evaluation

Eder

Scheller

Schwab

et al. 2019

GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW; 8:Doc15

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“…It must be noted that, in both cases of nonunion, the fixation hardware was a Spider dorsal plate, which has been related to high nonunion rates of up to 62% in four-corner arthrodesis. 13,14 The fusion was also performed with a Spider dorsal plate in the case requiring tenolysis and in the case converted to total wrist arthrodesis. None of the cases of four-corner arthrodesis in which compression screws or staples were used for fixation presented with nonunion.…”

Section: Discussionmentioning

confidence: 99%

Capitolunate Arthrodesis versus Four-corner Arthrodesis in Scaphoin Nonunion Advanced Collapsed Wrist Treatment

Porto

Leira

Rodríguez

et al. 2019

Rev Iberoam Cir Mano

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Objective To evaluate the outcomes of scaphoidectomy and capitolunate arthrodesis versus four-corner arthrodesis in patients with stage III scaphoid nonunion advanced collapse (SNAC) wrists. Methods We reviewed retrospectively all of the consecutive patients surgically treated in our center between 2007 and 2015, including 20 patients in the four-corner arthrodesis group and 11 patients in the capitolunate group. The mean follow-up time was of 47 months. The follow-up evaluation included wrist range of motion (ROM), grip strength, visual analogue scale (VAS), the disabilities of the arm, shoulder, and hand (DASH) questionnaire, and the Mayo wrist scale (MWS). Postoperative complications and the radiographic evaluation were also assessed. Results There was no statistical difference in flexion, radial deviation, ulnar deviation, grip strength, VAS, DASH or MWS scores. There was a statistically significant increase (6°) in extension in capitolunate arthrodesis versus four-corner arthrodesis, possibly without clinical relevance. There were two nonunions in the four-corner group, and none in the capitolunate group. None of the patients in the capitolunate group required screw removal. One patient in the four-corner group required dorsal plate removal. One patient in each group required conversion to total arthrodesis. Conclusions Capitolunate arthrodesis shows similar results in wrist ROM, grip strength and patient-reported outcomes when compared with four-corner arthrodesis at an average follow-up period of 4 years. We did not have any pisotriquetral arthritis in the capitolunate arthrodesis group, despite not removing the triquetrum in any of patients of this group. Type of study/level of evidence Therapeutic III.

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Update on the operative treatment of scapholunate instability for radiologists. II. Salvage procedures, total wrist arthrodesis, and total wrist arthroplasty

et al. 2017

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Scapholunate (SL) instability is the most common form of carpal instability. Imaging (especially radiography) plays an important role in the staging, management, and postoperative follow-up of SL instability. In the final stage of SL instability, known as scapholunate advanced collapse, progressive degenerative changes occur at the carpal level. The goals of this article are to review the surgical options available for addressing the different stages of scapholunate advanced collapse, along with an emphasis on normal postoperative imaging and complications associated with each surgical option.

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Four-Corner Arthrodesis with a Radiolucent Locking Dorsal Circular Plate: Technique and Outcomes

Abstract: FCA with the Xpode® yielded reasonable results for pain and function and demonstrated a fusion rate of 80 %.

Cited by 20 publications

References 20 publications

Four-corner arthrodesis of the wrist using Variable Angle Locking Compression Intercarpal Fusion Plate (VA LCP ICF Plate; Synthes ® ): pre- and postoperative radiological analysis and clinical outcome in long-term evaluation

Four-corner arthrodesis of the wrist using Variable Angle Locking Compression Intercarpal Fusion Plate (VA LCP ICF Plate; Synthes ® ): pre- and postoperative radiological analysis and clinical outcome in long-term evaluation

Capitolunate Arthrodesis versus Four-corner Arthrodesis in Scaphoin Nonunion Advanced Collapsed Wrist Treatment

Update on the operative treatment of scapholunate instability for radiologists. II. Salvage procedures, total wrist arthrodesis, and total wrist arthroplasty

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