Long-term follow-up of scaphoid-trapezium-trapezoid arthrodesis.
A series of 19 consecutive patients who underwent scaphoid-trapezium-trapezoid arthrodesis for chronic scapholunate instability or isolated arthrosis was reviewed. The average follow-up of 14 patients was 62 months. Eight of these 14 patients had significant residual symptoms and/or functional limitations at follow-up, and 11 had complications, including radiocarpal arthrosis (six patients), trapeziometacarpal arthrosis (four patients), and nonunion (three patients). Fusion without reduction of the scaphoid to a normal orientation was predictive of a poor result, but normal scaphoid positioning did not preclude development of arthrosis. Development of a painful degenerative thumb carpal-metacarpal joint may occur as an isolated phenomenon after scaphoid-trapezium-trapezoid arthrodesis.
Fortin
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PT
Orthopaedic Hand Service, University of Michigan Hospitals, Ann Arbor 48109.
Louis
D S
DS
D000328:Adult; D001168:Arthritis / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D001174:Arthrodesis / Q000706:statistics & numerical data; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013997:Time Factors