الفهرس 
Title : Results of four-corner fusion in scaphoid non-union advanced collapse (SNAC) and scapholunate advanced collapse (SLAC) wrist joint
ContentsOnly 14 pages are availabe for public view
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Abstract
Background: Scapho-lunate advanced collapse and scaphoid non-union advanced collapse wrist deformities are the most common causes of traumatic arthritis of the wrist. Scaphoid excision with four-corner fusion is commonly used as a partial motion-preserving salvage procedure for treating wrists with symptomatic appropriately staged scapho-lunate advanced collapse (SLAC) or scaphoid non-union advanced collapse (SNAC).Patients and methods: This was a prospective case series involving 10 patients (9 males & 1 female) with scaphoid non-union advanced collapse (SNAC) treated with four-corner fusion. Internal fixation was done using multiple Kirschner wires (4 patients), Headless screws (1 patient) or hybrid (k-wires & Herbert screws) (5 patients). Nine patients were classified as stage 2 and one patient was stage 3, based on Vender classification. Mean follow-up was 6.1 months. We evaluated the clinical outcome with Mayo wrist score, Q-DASH and grip strength and pain with VAS and fusion with radiographs