Long-term outcomes of the four-corner fusion of the wrist: A systematic review.
World J Orthop
; 13(1): 112-121, 2022 Jan 18.
Article
en En
| MEDLINE
| ID: mdl-35096541
ABSTRACT
BACKGROUND:
Four-corner fusion (4CF) is a motion sparing salvage procedure that is used to treat osteoarthritis secondary to advanced scapholunate collapse or longstanding scaphoid nonunion advanced collapse. Little is known about the long-term survivorship and outcomes of 4CF.AIM:
To report on clinical and functional long-term outcomes as well as conversion rates to total wrist fusion or arthroplasty.METHODS:
The systematic review protocol was registered in the international prospective register of systematic reviews (PROSPERO) and followed the PRISMA guidelines. Original articles were screened using four different databases. Studies with a minimum Level IV of evidence that reported on long-term outcome after 4CF with a minimum follow-up of 5 years were included. Quality assessment was performed using the Methodological Index for Non-Randomized Studies criteria.RESULTS:
A total of 11 studies including 436 wrists with a mean follow-up of 11 ± 4 years (range 6-18 years) was included. Quality assessment according to Methodological Index for Non-Randomized Studies criteria tool averaged 69% ± 11% (range 50%-87%). Fusion rate could be extracted from 9/11 studies and averaged 91%. Patient-reported outcomes were extracted at last follow-up from 8 studies with an average visual analog scale of 1 ± 1 (range 0-2) and across 9 studies with an average Disabilities of the Arm, Shoulder and Hand score of 21 ± 8 (range 8-37). At last follow-up, the cumulative conversion rate to total wrist fusion averaged 6%. There were no conversions to total wrist arthroplasty.CONCLUSION:
The 4CF of the wrist is a reliable surgical technique, capable of achieving a good long-term patient satisfaction and survivorship with low rates of conversion to total wrist fusion.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Tipo de estudio:
Clinical_trials
/
Guideline
/
Systematic_reviews
Idioma:
En
Revista:
World J Orthop
Año:
2022
Tipo del documento:
Article
País de afiliación:
Suiza