TY - JOUR AU - Kotsis, Sandra V. AB - HAND/PERIPHERAL NERVE A Prospective Outcomes Study of Four-Corner Wrist Arthrodesis Using a Circular Limited Wrist Fusion Plate for Stage II Scapholunate Advanced Collapse Wrist Deformity Kevin C. Chung, M.D., M.S. Background: Scapholunate advanced collapse wrist deformity is a common Andrew J. Watt, M.D. pattern of degenerative arthrosis of the wrist. This study prospectively evaluated Sandra V. Kotsis, M.P.H. a series of patients who underwent four-corner fusion using a circular plate Ann. Arbor, Mich. internal fixation technique. Methods: Patients with symptomatic stage II scapholunate advanced collapse wrist deformity were treated with scaphoid excision and four-corner fusion using the Spider Limited Wrist Fusion Plate (KMI, San Diego, Calif.). Patients were prospectively evaluated at 6 months and 1 year using a standard study protocol with radiographs, functional tests, and an outcomes questionnaire. Outcomes were compared with those of historical series from the literature. Results: Eleven patients were enrolled and 10 patients completed their 1-year follow-up. Grip strength, lateral pinch strength, and Jebsen-Taylor test scores at 1 year were not significantly different from preoperative values. Mean active range of motion was 87 degrees preoperatively and 74 degrees at 1-year follow-up (p 0.19). The Michigan Hand Outcomes Questionnaire showed no significant improvement in function, TI - A Prospective Outcomes Study of Four-Corner Wrist Arthrodesis Using a Circular Limited Wrist Fusion Plate for Stage II Scapholunate Advanced Collapse Wrist Deformity JF - Plastic & Reconstructive Surgery DO - 10.1097/01.prs.0000227737.90007.5d DA - 2006-08-01 UR - https://www.deepdyve.com/lp/wolters-kluwer-health/a-prospective-outcomes-study-of-four-corner-wrist-arthrodesis-using-a-NjFJM17bc3 SP - 433 EP - 442 VL - 118 IS - 2 DP - DeepDyve ER -