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- Title
Four-corner arthrodesis with a dorsal locking plate: 4–9-year follow-up.
- Authors
Athlani, Lionel; Sabau, Sophie; Pauchard, Nicolas; Dap, François; Dautel, Gilles
- Abstract
We report the outcomes of four-corner arthrodesis for advanced wrist collapse in 50 patients (51 wrists) using a dorsal locking plate. At a mean follow-up of 6 years (range 4–9), pain was significantly reduced and wrist function was significantly improved compared with preoperative status. After four-corner arthrodesis, grip strength was 80% of the contralateral side, and wrist motion averaged 50° flexion–extension and 30° radioulnar deviation. Immobilization time was 5 weeks (4–6) and sick-leave was 3 months (2–5) following surgery. There were seven nonunions (14%) that underwent repeat arthrodesis. Three wrists were later converted to total arthrodesis due to persisting pain. Radiographic dorsal impingement was found in five wrists after four-corner arthrodesis and did not require reoperation. The outcomes appear not remarkably different from those reported using other fixation methods other than an apparent earlier return to activities. Level of evidence : IV
- Subjects
ARTHRODESIS; GRIP strength; REOPERATION; WRIST
- Publication
Journal of Hand Surgery (17531934), 2020, Vol 45, Issue 7, p673
- ISSN
1753-1934
- Publication type
Article
- DOI
10.1177/1753193420930587