%0 Journal Article
%T Radioscapholunate fusion with triquetrum and distal pole of scaphoid excision: long
%A Gregory I. Bain
%A Joideep Phadnis
%A Ngoc B. Ha
%A Simon B. M. MacLean
%J Journal of Hand Surgery (European Volume)
%@ 2043-6289
%D 2018
%R 10.1177/1753193417724139
%X The purpose of this study was to assess the long-term outcomes of radioscapholunate fusion, with and without distal pole of scaphoid excision and excision of the triquetrum. These compromised three operative groups. Seventeen patients were identified with a minimum of 10£¿years follow-up, with a mean of 15£¿years (range 10¨C19). Fifteen of the 17 patients were satisfied with their outcome. Two were converted to total wrist fusion. The mean outcomes scores were; pain visual analogue scale score 2.1/10, Quick Disabilities of the Arm, Shoulder, and Hand 29 and Modified Mayo Wrist score 60. Patients with excision of the triquetrum had a mean radial¨Culnar arc increase of 10¡ã compared with the other two groups, but this was not statistically significant. The mean space for the scaphocapitate joint was 1.7£¿mm and lunocapitate joint was 1.3£¿mm at latest follow-up. Close adherence to the indications and surgical technique provided a sustainable good clinical outcome. Patients who obtained a good result at 2£¿years were likely to achieve a good long-term outcome. Level of evidence: I
%K Arthritis
%K limited wrist fusion
%K long-term outcome
%K radioscapholunate
%K triquetrum excision
%K wrist
%U https://journals.sagepub.com/doi/full/10.1177/1753193417724139