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Clinics (Sao Paulo). 2011;66(1):51-5.

Comparison between proximal row carpectomy and four-corner fusion for treating osteoarthrosis following carpal trauma: a prospective randomized study.

Author information

1
Department of Orthopedics and Traumatology, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil. edgard.franca@hcnet.usp.br

Abstract

OBJECTIVE:

To compare the functional results of carpectomy and four-corner fusion surgical procedures for treating osteoarthrosis following carpal trauma.

METHODS:

In this prospective randomized study, 20 patients underwent proximal row carpectomy or four-corner fusion to treat wrist arthritis and their functional results were compared. The midcarpal joint was free of lesions in all patients.

RESULTS:

Both proximal row carpectomy and four-corner fusion reduced the pain. All patients had a decreased range of motion after surgery. The differences between groups were not statistically significant.

CONCLUSIONS:

Functional results of the two procedures were similar as both reduced pain in patients with scapholunate advanced collapse/scaphoid non-union advanced collapse (SLAC/SNAC) wrist without degenerative changes in the midcarpal joint.

PMID:
21437436
PMCID:
PMC3044580
[Indexed for MEDLINE]
Free PMC Article
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