Scaphotrapeziotrapezoid fusion: long-term follow-up study

Current Trends in Nonoperative and Operative Treatment of Trapeziometacarpal Osteoarthritis: A Survey of US Hand Surgeons

“…Rogers and Watson 27 previously reported excellent outcomes for STT fusion in 20 patients with STT arthritis, and onethird of respondents chose this option. Other authors have noted generally good results for STT arthrodesis in isolated STT arthritis 28 ; although Minami et al 29 noted in a series of both Kienböck and STT arthritis that 23% of patients developed radioscaphoid arthritis with a mean follow-up of 84 months. There has been minimal literature reporting on the use of trapeziectomy/ LRTI for STT arthritis.…”

Lunate Resection and Vascularized Os Pisiform Transfer in Kienböck’s Disease: An Average of 10 Years of Follow-Up Study After Saffar’s Procedure

“…4) was not always possible and patients who experienced osteoarthritis had a tendency toward an increased preoperative RSA. We must state, however, that even for STT arthrodesis the correction of malrotated scaphoid and decreased carpal index is not always possible within normal values as described by Sauerbier et al, 11 Minami et al, 15 and Prommersberger et al 16 In general a partial intercarpal arthrodesis such as STT or scaphocapitate arthrodesis frequently is performed in late-stage Kienböck's disease. For those salvage procedures a DASH score of 19 to 31 points can be expected and the ROM is reduced to 52% to 63% whereas the grip power is 64% to 71% of the opposite side.…”

“…The onset of osteoarthritis after partial carpal fusions is known to occur in 23% of patients after a comparably short period of 7 years. 15 In the modified Graner procedure all 15 patients had radial osteoarthritis after an average follow-up period of 6.7 years. 33 Unfortunately the rate of osteoarthritis for the conservative treatment is unknown, making its comparison with surgical treatment impossible.…”

“…Furthermore there is some evidence that increased load bearing of the radial column as a result of those partial arthrodeses leads to osteoarthitis. 15 Therefore in 1982 Saffar 17 proposed the resection of the condensed lunate and interposition of the vascularized os pisiform for this condition. Anatomic studies have shown that the volume of the pisiform is less than the volume of the lunate but that the heights of these 2 bones are comparable.…”

Long-Term Outcomes for Kienböck's Disease

“…The Lichtman classification system is commonly used for staging [11]. Treatment of Kienböck's disease can vary from conservative to complex surgical interventions, including joint leveling procedures [20] by radial shortening [22] or ulnar lengthening [19], intercarpal arthrodesis [7,14,16,21], proximal row carpectomy [12], and vascularized bone grafts [9]. The present study sought to investigate and compare the outcomes of operative and non-operative treatment of Kienböck's disease in the Newfoundland and Labrador population.…”