Scapholunocapitate Arthrodesis Using the Mini-Spider Plate

Manuel, Jennifer; Weiss, Arnold‐Peter C.

doi:10.1097/00130911-200309000-00003

Cited by 4 publications

(4 citation statements)

References 18 publications

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“…Fixation with K-wires achieves acceptable union rates with a risk of pin track infection and a prolonged immobilisation time. Alternative fixation techniques have not shown (Chung et al, 2006;Kendall et al, 2005;Lyons and Weiss, 2004;Manuel and Weiss, 2003;Shindle et al, 2007;Vance et al, 2005). Plating techniques should guarantee a stable fixation which allows early rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

“…Techniques using staples show a high rate of displacement and dorsal impingement (van Riet and Bain, 2006). Evidence about the circular dorsal ‘spider’ plate is contradictory, with some reports showing high nonunion and dorsal impingement rates and other reports showing excellent results (Chung et al, 2006; Kendall et al, 2005; Lyons and Weiss, 2004; Manuel and Weiss, 2003; Shindle et al, 2007; Vance et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

“…The goal has been to achieve a higher union rate, allow early rehabilitation and increase patient comfort and satisfaction. Several methods based on screws, staples and plates have been developed (Chung et al, 2006; Garcia-López et al, 2001; Goldfarb et al, 2004; Kendall et al, 2005; Manuel and Weiss, 2003; Shindle et al, 2007; van Riet and Bain, 2006; Vance et al, 2005). However, the best fixation technique remains controversial.…”

Section: Introductionmentioning

confidence: 99%

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Four-corner bone arthrodesis with dorsal rectangular plate: series and personal technique

Espinoza

Schertenleib

2009

J Hand Surg Eur Vol

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Controversy exists about the best method to achieve bone fusion in four-corner arthrodesis. Thirty-five patients who underwent this procedure by our technique were included in the study. Surgical indications were stage II-III SLAC wrist, stage II SNAC wrist and severe traumatic midcarpal joint injury. Mean follow-up was 4.6 years. Mean active flexion and extension were 34 degrees and 30 degrees respectively; grip strength recovery was 79%. Radiological consolidation was achieved in all cases. The mean DASH score was 23 and the postoperative pain improvement by visual analogue scale was statistically significant. Return to work was possible at 4 months for the average patient. Complications were a capitate fracture in one patient and the need for hardware removal in four cases. Four-corner bone wrist arthrodesis by dorsal rectangular plating achieves an acceptable preservation of range of motion with good pain relief, an excellent consolidation rate and minimal complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Four-corner bone arthrodesis with dorsal rectangular plate: series and personal technique

Espinoza

Schertenleib

2009

J Hand Surg Eur Vol

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“…The average range of motion of the wrist was 35.7°of flexion and 34.3°of extension. Manuel et al found that the Spider plate can result in fusion of the wrist being concentrated centripetally in the dorsal plane and scattered on the volar plane 20 . The fusion body had rotational instability on the plate's axis which had impaired its healing.…”

Section: Slac Was First Described By Watson and Ballet In 1984mentioning

confidence: 99%

Four-corner arthrodesis concentrator of Ni-Ti memory alloy for carpal collapse

Bao-chuang

Zhu

et al. 2010

Orthopaedic Surgery

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Spider Plate Fixation

Collins

Nolla

2008

Techniques in Hand &Amp; Upper Extremity Surgery

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Using the Spider plate fixation device, limited wrist arthrodesis was performed on 30 patients over a 2-year period. Developed as an alternative to Kirschner wires and compression bone screws in limited intercarpal fusions, its rigid fixation was expected to yield better results. Five hand surgeons treated 24 men and 6 women with an average age of 45 years. Diagnosis included the following: scaphoid nonunion advanced collapse, scapholunate advanced collapse, scapholunate dissociation, midcarpal arthrosis, and Kienböck disease. The 8-hole regular Spider and 6-hole mini-Spider plates were applied dorsally, and patients were immobilized for 4 weeks. In a blinded study, data results showed no significant improvement when compared with bone screws and Kirschner wires. Preliminary results showed that the Spider plate yielded higher nonunion rates and less wrist motion.

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Scapholunocapitate Arthrodesis Using the Mini-Spider Plate

Cited by 4 publications

References 18 publications

Four-corner bone arthrodesis with dorsal rectangular plate: series and personal technique

Four-corner bone arthrodesis with dorsal rectangular plate: series and personal technique

Four-corner arthrodesis concentrator of Ni-Ti memory alloy for carpal collapse

Spider Plate Fixation

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