Intracarpal arthrodesis or proximal row carpectomy in SNAC and SLAC wrist

Authors

  • Nikola Simeonov dr
  • Kalin Angelov UMHAT "Sofiamed" - Clinic for orthopedics, traumatology, hand surgery and reconstructive surgery, Sofia, Bulgaria
  • Iliyana Marcheva UMHAT "Sofiamed" - Clinic for orthopedics, traumatology, hand surgery and reconstructive surgery, Sofia, Bulgaria
  • Elena Apostolu UMHAT "Sofiamed" - Clinic for orthopedics, traumatology, hand surgery and reconstructive surgery, Sofia, Bulgaria
  • Kalin Dimitrov UMHAT "Sofiamed" - Clinic for orthopedics, traumatology, hand surgery and reconstructive surgery, Sofia, Bulgaria
  • Мargarita Kateva UMHAT "Sofiamed" - Clinic for orthopedics, traumatology, hand surgery and reconstructive surgery, Sofia, Bulgaria

DOI:

https://doi.org/10.58542/jbota.v61i02.110

Keywords:

post-traumatic wrist arthritis, proximal row carpectomy, intracarpal arthrodesis

Abstract

Objective: To clarify the indications for the choice of operative intervention in patients with SLAC and SNAC wrist and to compare the functional results after proximal carpectomy (PRC) and partial intracarpal arthrodesis with scaphoid excision.

Methods: A total of 20 patients underwent four corner fusion intracarpal arthrodesis with scaphoid excision, and 8 patients underwent proximal carpectomy in the period from 2016 to 2023. The mean postoperative follow-up period for patients with intracarpal arthrodesis was 3.2 years and for patients with proximal carpectomy was 3.5 years.

Results: Regarding range of motion of the wrist in the flexion-extension axis, the proximal carpectomy patients in our series showed better results than the intracarpal arthrodesis patients, an average of 84% in the PRC patients and 75% in the intracarpal arthrodesis patients relative to the contralateral limb. In the patients with intracarpal arthrodesis, however, we recorded a greater preserved range of motion in the radial-ulnar deviation axis of the wrist. Grip strength was measured at 6 months postoperatively and averaged 72% for the PRC group compared with 83% for patients with intracarpal arthrodesis to the contralateral limb.

Conclusion: Both proximal carpectomy and intracarpal arthrodesis are surgical interventions that achieve similar functional outcomes for the treatment of degenerative conditions of the wrist (SLAC/SNAC).

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Published

08.05.2024

How to Cite

Simeonov, N., Angelov, K., Marcheva, I., Apostolu , E., Dimitrov, K., & Kateva М. (2024). Intracarpal arthrodesis or proximal row carpectomy in SNAC and SLAC wrist. THE JOURNAL OF THE BULGARIAN ORTHOPAEDICS AND TRAUMA ASSOCIATION, 61(02), 98–104. https://doi.org/10.58542/jbota.v61i02.110

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