• 作者：N. Maire ; S. Facca ; S. Gouzou ; P. Liverneaux ; ^{philippe.liverneaux@chru-strasbourg.fr}
• 关键词：Arthrod&egrave ; se mé ; diocarpienne ; Arthrose ; Poignet ; Fusion
• 刊名：Chirurgie de la main
• 出版年：2012
• 期刊代码：53_12973203
• 类别：med
• 出版时间：February, 2012
• 卷：31
• 期：1
• 页码：24-29
• 文件大小：720 K

Indication of midcarpal fusion is SNAC or SLAC wrist grade 3. The main complication of circular plate (most common technique) is non-union. In this context, the purpose of our work was to propose the use of break-away compression screws to decrease the rate of non-union. Our series included ten patients. The fusion was fixed using two break-away compression screws (2 mm diameter). No bone graft was used. As assessment, subjective (pain, Quick-DASH) and objective (strength, mobility) criteria were reviewed at follow-up. All the criteria were significantly improved after operation except mobility. Among the complications, we noticed one delayed bone-healing with a good outcome and a radiological consolidation. Midcarpal fusion by dorsal approach using break-away compression screws appears to us a technique of interest, not requiring a bone graft, with good cost effectiveness.