title: Three-corner midcarpal arthrodesis and scaphoidectomy: a simplified volar approach.
abstract: Midcarpal arthrodesis has been a treatment of choice in the last decade for scapholunate advanced collapse and related conditions of the wrist. In this study, we present a new uncomplicated technique in which a 3-corner intercarpal fusion is done with screw fixation from a volar approach. The advantages of this technique include simplified excision of the scaphoid, radial styloidectomy, and straightforward placement of 2 screws from the lunate into the capitate and hamate, respectively, to maintain a readily achievable correction of the dorsal intercalated segment instability. With adequate debridement and compression of the midcarpal joint, fusion is readily achieved.
authors.affiliation: University Hand Program, Toronto Western Hospital, Toronto, Ontario, Canada.
authors.forename: Michèle
authors.initials: M
authors.lastname: Dutly-Guinand
authors.forename: Herbert P
authors.initials: HP
authors.lastname: von Schroeder
mesh_terms: D000328:Adult; D001174:Arthrodesis; D001863:Bone Screws; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D021361:Scaphoid Bone / Q000601:surgery*; D014955:Wrist Joint / Q000601:surgery*