Titre
Salvage of advanced carpal collapse: proximal row carpectomy with pyrocarbon resurfacing of the capitate versus four-corner arthrodesis
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Ferrero, Matteo
Auteure/Auteur
di Summa, Pietro G.
Co-première auteure/Co-premier auteur
Giacalone, Francesco
Auteure/Auteur
Senesi, Letizia
Auteure/Auteur
Sapino, Gianluca
Auteure/Auteur
Battiston, Bruno
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1753-1934
Statut éditorial
Publié
Date de publication
2020-09
Volume
45
Numéro
7
Première page
687
Dernière page/numéro d’article
692
Langue
anglais
Résumé
In this retrospective study we report on two comparable groups of patients with advanced carpal arthritis treated with either proximal row carpectomy combined with a pyrocarbon resurfacing of the capitate (31 patients) or a four-corner arthrodesis and dorsal plating (26 patients). Follow-up time was 46 months (24-118). Except for a modestly higher radial wrist deviation in the patients treated with four-corner arthrodesis, there were no significant differences in outcomes between the groups. Asymptomatic progression of osteoarthritis in the lunate fossa was observed in four cases in both groups. Two cases were converted to a total wrist arthrodesis in the pyrocarbon group compared with one case in the four-corner arthrodesis group. Although four-corner arthrodesis remains the reference standard in the treatment of wrist osteoarthritis with involvement of the midcarpal joint, proximal row carpectomy combined with pyrocarbon resurfacing of the capitate is an alternative option. It can even be used in selected cases with erosion of the lunate fossa.
Sujets
PID Serval
serval:BIB_3D0E6E35169C
PMID
Date de création
2020-07-09T09:50:29.104Z
Date de création dans IRIS
2025-05-20T17:25:49Z