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

Authors

  • Edgard Novaes França Bisneto Universidade de São Paulo; Faculdade de Medicina; Department of Orthopedics and Traumatology
  • Maura Cristina Freitas Universidade de São Paulo; Faculdade de Medicina; Department of Orthopedics and Traumatology
  • Emygdio José Leomil de Paula Universidade de São Paulo; Faculdade de Medicina; Department of Orthopedics and Traumatology
  • Rames Mattar Jr Universidade de São Paulo; Faculdade de Medicina; Department of Orthopedics and Traumatology
  • Arnaldo Valdir Zumiotti Universidade de São Paulo; Faculdade de Medicina; Department of Orthopedics and Traumatology

DOI:

https://doi.org/10.1590/S1807-59322011000100010

Keywords:

Arthritis, Degenerative, Wrist injuries, Carpal bones, Arthrodesis, Wrist joint

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.

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Published

2011-01-01

Issue

Vol. 66 No. 1 (2011)

Section

Clinical Sciences

How to Cite

França Bisneto, E. N., Freitas, M. C., Paula, E. J. L. de, Mattar Jr, R., & Zumiotti, A. V. (2011). Comparison between proximal row carpectomy and four-corner fusion for treating osteoarthrosis following carpal trauma: a prospective randomized study . Clinics, 66(1), 51-55. https://doi.org/10.1590/S1807-59322011000100010