[Chronic, post-traumatic scaphoid-lunate instability treated by scaphoid-lunate arthrodesis].
The authors after a review of certain elements of the physiology and pathophysiology of the scapho-lunate couple, report a series of 10 patients presenting a post-traumatic scapho-lunate instability stabilized by scapho-lunate bone graft in order to obtain scapho-lunate arthrodesis. The bone fusion was obtained 5 times out of 10, 3 times complete and 2 times by an incomplete bony bridge. In 5 cases, bone fusion was not evident, a fibrous non-union probably occurred which maintained the correction. Nevertheless, the overall results were considered good in 9 out of 10 cases with only one poor result. The outcome with a mean follow-up of 4 years did not show any arthritic changes. The authors consider that scapho-lunate stabilization with an interposed bone graft is a good method which can ensure good stabilization and good clinical results.
Alnot
J Y
JY
Département de chirurgie du membre supérieur, Hôpital Bichat, Paris.
de Cheveigne
C
C
Bleton
R
R
D000328:Adult; D001174:Arthrodesis / Q000379:methods / Q000592:standards*; D016025:Bone Transplantation; D002348:Carpal Bones / Q000293:injuries*; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular