Can Four Corner Fusion in Scaphoid Non-union Advanced Collapse (SNAC) Preserve Functional Range of Motion? | ||||
| Zagazig University Medical Journal | ||||
| Article 15, Volume 31, Issue 1.1, January 2025, Page 135-144 PDF (999.97 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2024.345747.3746 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Hany Mohamed Abdelfattah Bakr  ; Ibrahim Algohiny; Salah Mahmoud Abdelkader
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| Lecturer of Orthopedic Surgery, Faculty of Medicine, Zagazig University | ||||
| Abstract | ||||
| Background: A scaphoid fracture is one the most disabling fractures in the wrist joint when a fractured scaphoid is neglected or improperly treated leading to Scaphoid Non-union Advanced Collapse (SNAC) wrist deformity with 5 stages. This study aimed to evaluate the clinical and radiological results of a simple technique of K wires fixation in the limited fusion of wrist in four corner fusion for surgical management of scaphoid nonunion advanced collapse with partial wrist denervation. Methods: This retrospective clinical study included 14 patients, who were heavy manual workers and farmers suffered from neglected fracture scaphoid at least 2 years before surgery and were treated conservatively except two patients. Results: Eleven patients got good results, 2 patients got fair results, and 1 patient got poor results. All patients had radiological signs of solid fusion at the end of the follow-up time with the mean duration of time to get complete fusion 6-12 weeks. After surgery, one patient got a superficial infection in the wound, one patient suffered from dorsal impingement between radius bone and capitate. Conclusion: The results of this study showed that the patient's degree of satisfaction is high, so the surgery provides good to exceptional wrist pain relief.. | ||||
| Keywords | ||||
| scaphoid; four-corner fusion; non-union; advanced carpus collapse | ||||
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