The investigators conduced a clinical trial to evaluate the clinical and radiographic results after radioscapholunate fusion in case of posttraumatic radiocarpal osteoarthritis. Because of poor clinical result, many authors upgrade the procedure including excision of the distal pole of the scaphoid and later excision of the entire triquetrum. Only one study compared the three procedures in 17 patients. The investigators performed the same comparison in 85 patients with a mean follow up of 9,1 years (1-23)
The investigators compared three populations: patients with radioscapholunate (RSL) fusion alone, patients with RSLfusion and distal scaphoid excision and patient with RSL fusion, distal scaphoid excision and excision of the triquetrum. The investigators performed clinical (pain, grasp strength, wrist motion), functional and radiographic (midcarpal osteoarthritis and radiocarpal nonunions) evaluation
Study Type
OBSERVATIONAL
Enrollment
85
Uhmontpellier
Montpellier, France
presence of mediocarpal osteoarthritis
To evaluate the long-term radiographic results of post-traumatic radio scapholunate
Time frame: 1 day
presence of scapho-trapezoidal trapezoid
To evaluate the long-term radiographic results of post-traumatic radio scapholunate
Time frame: 1 day
presence of non-consolidation of radio-scapho-lunar arthrodesis
To evaluate the long-term radiographic results of post-traumatic radio scapholunate
Time frame: 1 day
Assess overall survival
To evaluate the overall survival (excluding total wrist arthrodesis) of post-traumatic radio scapholunate
Time frame: 1 day
the prognostic factors of good clinical
To evaluate the prognostic factors of good clinical (ie absence of osteoarthritis or good consolidation of arthrodesis)
Time frame: 1 day
the prognostic factors of radiographic evolution
To evaluate the prognostic factors of radiographic evolution (ie absence of osteoarthritis or good consolidation of arthrodesis)
Time frame: 1 day
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