Three-Corner Arthrodesis (lunate – hamate – capitate) : clinical and kinematical evaluation

Keywords:

Wrist ; instability ; arthritis ; intercarpal arthrodesis


Published online: Apr 16 2021

Mathias Colman, Wissam El Kazzi, Patrick Salvia, Véronique Feipel, Frédéric Schuind

From the Erasme Hospital and the Laboratory of Anatomy, Biomechanics and Organogenesis (LABO), Brussels, Belgium

Abstract

In the absence of prosthetic arthroplasty offering good results for the treatment of wrist osteoarthritis, we studied the arthrodesis of three carpal bones (lunate – hamate – capitate) completed by triquetrum and scaphoid excision in the presence of Scapholunate Advanced Collapse (SLAC) or Scaphoid Nonunion Advanced Collapse (SNAC) stage II or III.

Clinical data on eight patients between the ages of 32 and 61 years at an average of 29 months after surgery was analyzed. Seven patients reached fusion with a carpal height ratio of 0.39.

These arc of dorsal-palmar flexion (DPF) attended 54° and the arc of radio-ulnar deviation (RUD) 29° using the optoelectronic stereophotogrammetry system. The mean polar radius (R) was 14.5° and the envelope shape coefficient (K) was 1.66.

This operation could be considered as an alternative for the treatment of patients suffering of SNAC or SLAC stage II and III.

Type of study/level of evidence : Therapeutic IV

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About this issue

Volume 86, issue 4.

Dec 2020.

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