Abstract
The authors compare the functional outcome of 8 patients treated by distal scaphoid resection arthroplasty for scaphoid nonunion with symptomatic wrist arthritis before surgery and after a minimum follow-up of 6 months. There was a significantly better range of radial deviation and grip strength at the time of re-examination. Significantly fewer patients complained of resting pain. By contrast the change of radiolunate angle measured before the surgery and at the time of re-examination was statistically insignificant. Our preliminary results show that distal scaphoid resection arthroplasty seems to be a useful treatment method of scaphoid nonunion with symptomatic wrist arthritis.
Highlights
The treatment of long-standing scaphoid nonunion associated with symptomatic wrist arthritis remains a challenging problem
The purpose of this study was to evaluate the results of distal scaphoid resection arthroplasty after a minimum follow-up of 6 months
From October 2003 to April 2005 eight patients with scaphoid nonunion and symptomatic radioscaphoid arthritis were treated by distal scaphoid resection arthroplasty at the Department of Traumatology of the Teaching Hospital in Olomouc
Summary
The treatment of long-standing scaphoid nonunion associated with symptomatic wrist arthritis remains a challenging problem. Treatment possibilities include proximal row carpectomy, scaphoid excision with limited intercarpal arthrodesis and wrist arthrodesis[1,2,3]. In contrast to these methods, distal scaphoid resection arthroplasty is a performed and motion-preserving procedure without risk of nonunion and with a short period of postoperative immobilization. The purpose of this study was to evaluate the results of distal scaphoid resection arthroplasty after a minimum follow-up of 6 months
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