Radioscapholunate fusion with triquetrum and distal pole of scaphoid excision: long-term follow-up. (February 2018)

• Record Type: Journal Article
• Authors: Ha, Ngoc B.; Phadnis, Joideep; MacLean, Simon B. M.; Bain, Gregory I.
• Is Part Of: Journal of hand surgery. Volume 43:Number 2(2018)
• Page Start: 168
• Page End: 173
• Publication Date: 2018-02
• Subjects: Arthritis -- limited wrist fusion -- long-term outcome -- radioscapholunate -- triquetrum excision -- wrist; 617.575059
• DOI: 10.1177/1753193417724139
• Languages: English
• ISSNs: 1753-1934

Abstract

The purpose of this study was to assess the long-term outcomes of radioscapholunate fusion, with and without distal pole of scaphoid excision and excision of the triquetrum. These compromised three operative groups. Seventeen patients were identified with a minimum of 10 years follow-up, with a mean of 15 years (range 10–19). Fifteen of the 17 patients were satisfied with their outcome. Two were converted to total wrist fusion. The mean outcomes scores were; pain visual analogue scale score 2.1/10, Quick Disabilities of the Arm, Shoulder, and Hand 29 and Modified Mayo Wrist score 60. Patients with excision of the triquetrum had a mean radial–ulnar arc increase of 10° compared with the other two groups, but this was not statistically significant. The mean space for the scaphocapitate joint was 1.7 mm and lunocapitate joint was 1.3 mm at latest follow-up. Close adherence to the indications and surgical technique provided a sustainable good clinical outcome. Patients who obtained a good result at 2 years were likely to achieve a good long-term outcome. Level of evidence: IV