title: [Midcarpal fusion using break-away compression screw].
abstract: Indication of midcarpal fusion is SNAC or SLAC wrist grade 3. The main complication of circular plate (most common technique) is non-union. In this context, the purpose of our work was to propose the use of break-away compression screws to decrease the rate of non-union. Our series included ten patients. The fusion was fixed using two break-away compression screws (2mm diameter). No bone graft was used. As assessment, subjective (pain, Quick-DASH) and objective (strength, mobility) criteria were reviewed at follow-up. All the criteria were significantly improved after operation except mobility. Among the complications, we noticed one delayed bone-healing with a good outcome and a radiological consolidation. Midcarpal fusion by dorsal approach using break-away compression screws appears to us a technique of interest, not requiring a bone graft, with good cost effectiveness.
authors.affiliation: Service de chirurgie de main, centre de chirurgie orthopédique et de main, hôpitaux universitaires de Strasbourg, 10, avenue Achille-Baumann, 67403 Illkirch cedex, France.
authors.forename: N
authors.initials: N
authors.lastname: Maire
authors.forename: S
authors.initials: S
authors.lastname: Facca
authors.forename: S
authors.initials: S
authors.lastname: Gouzou
authors.forename: P
authors.initials: P
authors.lastname: Liverneaux
mesh_terms: D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000295:instrumentation*; D001863:Bone Screws; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014955:Wrist Joint / Q000601:surgery*