Arthroscopic scaphocapitate fusion without bone graft; clinical and radiological outcomes.

IF 2 3区医学 Q2 ORTHOPEDICS International Orthopaedics Pub Date : 2025-02-01 Epub Date: 2024-11-25 DOI:10.1007/s00264-024-06381-4

Sherif Ghoneim, Raafat Kamal, Ahmed Semaya, Mohammad Hasan

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Abstract

Purpose: Scaphocapitate fusion (SCF) is an important surgical option for carpal pathologies, which are difficult to manage as Kienböck's disease. With the advantages of arthroscopy combined with percutaneous fixation techniques, arthroscopic scaphocapitate fusion can have the best outcome for the patient from a functional perspective. This study aims to evaluate the clinical, radiological, and functional results of arthroscopic SCF.

Methods: The study included thirty patients with stage IIIB and IIIC Kienböck's disease. The articular surfaces were prepared using arthroscopic burr then fixed by Herbert screw. The mean follows up period was about 29 months.

Results: SCF was achieved in approximately seven weeks. There was a statistically significant difference in pre- and post-operative grip strength and Mayo wrist score.

Conclusion: According to our study findings, arthroscopic SCF may be performed with significant improvements and satisfactory clinical and functional results in patients with stage IIIB and IIIC Kienböck's disease.

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无骨移植的关节镜胛骨融合术；临床和放射学结果。

目的：腕骨骺融合术（SCF）是治疗像基恩伯克病一样难以处理的腕骨病变的重要手术选择。凭借关节镜与经皮固定技术相结合的优势，关节镜下腕骨融合术可从功能角度为患者带来最佳疗效。本研究旨在评估关节镜下椎体后凸融合术的临床、放射学和功能效果：研究对象包括 30 名 IIIB 期和 IIIC 期 Kienböck 病患者。使用关节镜毛刺准备关节面，然后用赫伯特螺钉固定。平均随访时间约为 29 个月：结果：SCF在大约七周内完成。结论：根据我们的研究结果，关节镜手术能在约七周内完成 SCF，术前术后握力和梅奥腕关节评分差异有统计学意义：根据我们的研究结果，对 IIIB 期和 IIIC 期 Kienböck 病患者实施关节镜 SCF 可显著改善其临床和功能，并取得令人满意的效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Orthopaedics 医学-整形外科

CiteScore

5.50

自引率

7.40%

发文量

360

审稿时长

1 months

期刊介绍： International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.