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Journal of Hand Surgery (British and European Volume)
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Articles

Midcarpal Arthrodesis with Complete Scaphoid Excision and Interposition Bone Graft in the Treatment of Advanced Carpal Collapse (SNAC/SLAC Wrist): Operative Technique and Outcome Assessment

M. SAUERBIER
M. TRÄNKLE
G. LINSNER
B. BICKERT
G. GERMANN

From the Department of Plastic and Hand Surgery, Burn Center, BG-Trauma Center Ludwigshafen Plastic and Hand Surgery of the University of Heidelberg, Germany

Correspondence: Dr Michael Sauerbier, Mayo Clinic, Orthopedic Biomechanics Laboratory, 200 First Street SW, Rochester, MN 55905, USA. E-mail: sauerbier.michael{at}mayo.edu

Thirty-six patients with stage II or III SNAC and SLAC wrists were treated by midcarpal arthrodesis and complete scaphoid excision. When assessed at a mean follow-up of 25 months, pain was significantly reduced both under resting and stress conditions. The active range of motion was 54% of the contralateral wrist and grip strength was 65% of the non-operated hand. The mean DASH score was 28 points, the Mayo wrist score was 63 points, and the Krimmer wrist score was 68. Correlation of the wrist scores with the DASH values demonstrated a significant correlation. Our data demonstrate that midcarpal fusion with complete excision of the scaphoid is a reliable procedure for treating advanced carpal collapse.

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 4, 341-345 (2000)
DOI: 10.1054/jhsb.2000.0434
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