Scaphoid excision and four corner fusion in treatment of scapholunate dissociation

Abstract

The purpose of this study was to evaluate the clinical outcome, union rate, and complications of a consecutive series of scaphoid excision and four-corner arthrodeses performed by a three surgeon using distal radius bone graft Herbert screws or K-wires or cannulated Synthes screws or Flower plate fixation. Mean duration of follow-up was 16 months. The results of the present study revealed that, patient satisfaction is high, and the procedure offers well to excellent pain relief. Advances in surgical exposures, fixation techniques, and implants have allowed for rigid fixation that enables for rapid union and the commencement of early range of motion. Failure rates and complication rates are relatively low, and long-term outcomes have been promising