Lunocapitate versus four-corner fusion in scapholunate or scaphoid nonunion advanced collapse: a randomized controlled trial

被引：2
|
作者：
Schriever, Thorsten [1 ,2 ,3 ]
Sward, Elin [1 ,2 ]
Wilcke, Maria [1 ,2 ]
机构：
[1] Karolinska Inst, Dept Clin Sci & Educ, Sodersjukhuset, Stockholm, Sweden
[2] Dept Hand Surg Sodersjukhuset, Stockholm, Sweden
[3] Handkirurg Kliniken Sodersjukhuset, Sjukhusbacken 10, S-11883 Stockholm, Sweden
来源：
JOURNAL OF HAND SURGERY-EUROPEAN VOLUME | 2024年 / 49卷 / 05期
关键词：
Wrist; osteoarthritis; SLAC; SNAC; lunocapitate fusion; LCF; four-corner fusion; 4CF; randomized controlled trial; CAPITOLUNATE ARTHRODESIS; WRIST; PAIN; DASH;
D O I：
10.1177/17531934231209872
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
This pragmatic randomized controlled trial compared lunocapitate fusion (LCF) and four-corner fusion (4CF) for scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) in 64 patients. The primary outcome was change in grip strength from preoperative to 1 year postoperatively. The secondary outcomes were Disability of the Hand, Arm, and Shoulder score, Patient Rated Wrist Evaluation score, EuroQol-5D-3L, range of motion, key pinch strength and complications 12 months postoperatively. Grip strength improved only to a small extent and there was no difference between the groups. No differences were found in the secondary outcomes. In conclusion, LCF is not inferior to 4CF regarding strength, range of motion or patient-reported outcome measures.Level of evidence: I
引用
收藏
页码：601 / 607
页数：7
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