Purpose
Scaphoid excision with 4-corner arthrodesis is a safe procedure that relieves pain
while also preserving the functional movements of the wrist. Different techniques
have been described with successful results. In this study, we present the midterm
clinical outcomes of 17 patients who underwent treatment with our arthroscopic 4-corner
arthrodesis technique.
Methods
Patients with at least 1 year of follow-up were included in our study. Preoperative
and postoperative radiologic, functional, and clinical results were compared. Radiologic
and clinical union were achieved in all patients.
Results
Significant improvement was observed in Quick Disabilities of the Arm, Shoulder, and Hand, Mayo Wrist Score, visual analog scale,
and Patient-Rated Wrist Evaluation scores. Although wrist range of motion increased
in the radioulnar plane, no clinically important change was observed in the flexion-extension
arc. The patients were able to return to work in an average of 10 weeks.
Conclusions
The arthroscopic 4-corner arthrodesis technique is a method with satisfactory outcomes.
The main disadvantage of this procedure is that it requires a lengthy operative time,
and both specific expertise and equipment.
Type of study/level of evidence
Therapeutic IV.
Key words
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Article info
Publication history
Published online: July 07, 2022
Accepted:
May 5,
2022
Received:
April 27,
2021
Publication stage
In Press Corrected ProofFootnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2022 by the American Society for Surgery of the Hand. All rights reserved.
