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  • Talk
  • 15/06/2021
  • Canada

Comparison of Four-Corner, Three-Corner, or Capitolunate Partial Wrist Fusion – A Scoping Review

Description

The presentation, led by Dan Durham, a resident at the University of Alberta, focuses on a scoping review comparing various partial wrist fusion techniques—specifically four-corner, three-corner, and capitolunate fusion—for treating advanced scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrist arthritis. The introduction emphasizes the importance of these surgical options for young, active patients and states that there are no large comparative studies available in the current literature.



The research involved rigorous literature screening, culminating in 15 relevant studies that evaluated patient outcomes related to these fusion techniques. Findings indicated that the majority of patients were males over 40, with varying results across the three approaches, including similar outcomes in terms of range of motion and grip strength, despite differing reporting methods. Complication rates across studied techniques were observed to be around 23%.



Detailed comparisons through tables reveal specific metrics like extension ranges, DASH scores, and visual analog scale ratings for pain, underscoring the methods and outcomes evaluated in the scoping review. The presentation culminates in a call for more high-quality studies to fill the knowledge gap regarding optimal surgical strategies, enhancing decision-making for managing patients with debilitating wrist arthritis.

Specialties