TY - JOUR
T1 - Distal Pole Resection of the Scaphoid for the Treatment of Scaphotrapeziotrapezoid Osteoarthritis
AU - Berkhout, Merel J.L.
AU - Bachour, Yara
AU - Wessing, Daan
AU - Ritt, Marco J.P.F.
PY - 2019/3/1
Y1 - 2019/3/1
N2 - Background: Distal pole resection of the scaphoid is one of the surgical techniques applied for the treatment of painful scaphotrapeziotrapezoid osteoarthritis (STT-OA). Methods: In this retrospective study, we evaluated midterm outcomes in a consecutive series of patients who underwent distal pole resection of the scaphoid: 13 patients (15 wrists) with a mean follow-up of 4.1 years. We examined objective functional and patient-reported outcome measures. In addition, we assessed the degree of dorsal intercalated segment instability (DISI) and postoperative complications. Results: All patients scored within a normal range on objective functional and patient-reported outcome measures. We observed a mild postoperative DISI deformity with an average lunocapitate angle of 22° (range, 0°-44°), which did not correlate with pain scores. In the opposite wrists, with and without STT-OA, the average lunocapitate angle was 6° (range, 0°-20°). Conclusions: According to this study, midterm results for distal pole resection of the scaphoid are satisfactory.
AB - Background: Distal pole resection of the scaphoid is one of the surgical techniques applied for the treatment of painful scaphotrapeziotrapezoid osteoarthritis (STT-OA). Methods: In this retrospective study, we evaluated midterm outcomes in a consecutive series of patients who underwent distal pole resection of the scaphoid: 13 patients (15 wrists) with a mean follow-up of 4.1 years. We examined objective functional and patient-reported outcome measures. In addition, we assessed the degree of dorsal intercalated segment instability (DISI) and postoperative complications. Results: All patients scored within a normal range on objective functional and patient-reported outcome measures. We observed a mild postoperative DISI deformity with an average lunocapitate angle of 22° (range, 0°-44°), which did not correlate with pain scores. In the opposite wrists, with and without STT-OA, the average lunocapitate angle was 6° (range, 0°-20°). Conclusions: According to this study, midterm results for distal pole resection of the scaphoid are satisfactory.
KW - STT osteoarthritis
KW - distal pole resection
KW - midterm outcomes
KW - scaphoid
KW - scaphoid nonunion
KW - scaphotrapeziotrapezoid osteoarthritis
UR - http://www.scopus.com/inward/record.url?scp=85041593749&partnerID=8YFLogxK
U2 - https://doi.org/10.1177/1558944717735939
DO - https://doi.org/10.1177/1558944717735939
M3 - Article
C2 - 29094605
SN - 1558-9447
VL - 14
SP - 230
EP - 235
JO - Hand
JF - Hand
IS - 2
ER -