Stacy Fan1, Clare Padmore2, Assaf Kadar3,4, Spencer Chambers1, G Daniel G Langohr2, Nina Suh1,2,3. 1. Division of Plastic and Reconstructive Surgery, University of Western Ontario, Roth|McFarlane Hand and Upper Limb Centre, St. Joseph's Health Care, London, ON, Canada. 2. Bioengineering Research Laboratory, Roth|McFarlane Hand and Upper Limb Centre, St. Joseph's Health Care London, London, ON, Canada. 3. Division of Orthopaedic Surgery, University of Western Ontario, Roth|McFarlane Hand and Upper Limb Centre, St. Joseph's Health Care, London, ON, Canada. 4. Department of Orthopaedic Surgery, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Abstract
PURPOSE: To compare changes in wrist kinematics after scaphoidectomy and four-corner fusion (4CF), and proximal row carpectomy (PRC). METHODS: Six cadaveric specimens underwent flexion-extension, radial-ulnar deviation and circumduction in an active motion wrist simulator. Native state, "anatomic 4CF", "radial 4CF", and PRC were compared. RESULTS: Radial 4CF reduced wrist extension, while PRC reduced radial deviation. Fusion groups had similar motion profiles. 44%, 41%, and 32% of native circumduction was maintained in PRC, anatomic, and radial 4CF. CONCLUSIONS: Both fusion positions resulted in comparable motion outcomes. Anatomic 4CF was restricted in wrist extension compared to PRC but provided favourable radial deviation.
PURPOSE: To compare changes in wrist kinematics after scaphoidectomy and four-corner fusion (4CF), and proximal row carpectomy (PRC). METHODS: Six cadaveric specimens underwent flexion-extension, radial-ulnar deviation and circumduction in an active motion wrist simulator. Native state, "anatomic 4CF", "radial 4CF", and PRC were compared. RESULTS: Radial 4CF reduced wrist extension, while PRC reduced radial deviation. Fusion groups had similar motion profiles. 44%, 41%, and 32% of native circumduction was maintained in PRC, anatomic, and radial 4CF. CONCLUSIONS: Both fusion positions resulted in comparable motion outcomes. Anatomic 4CF was restricted in wrist extension compared to PRC but provided favourable radial deviation.
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