Adaptive Proximal Scaphoid Implant (APSI) : 10-year outcomes in patients with SNAC wrists
Copyright © 2018 SFCM. Published by Elsevier Masson SAS. All rights reserved..
Radioscaphoid arthroplasty with the Adaptive Proximal Scaphoid Implant (APSI®) is an attractive treatment alternative in the short and medium term for patients with early scaphoid non-union advanced collapse (SNAC) wrist. The purpose of our study was to determine the long-term outcomes of this implant in SNAC wrists. All patients who received the implant from October 2002 to October 2010 were included. A clinical and radiographic study was performed. Our case series included 39 patients, of which 33 were contacted, with a mean follow-up of 10 years (5.8-13.4). Most of the patients had stage-1 SNAC wrist (95%). There were nine complications (27%), seven of which required reoperation: implant dislocation (44%) or progression of the carpal degeneration (33%). Ninety-six percent of patients contacted were satisfied or very satisfied with their surgery (although 21% needed a second surgery) with a Mayo Wrist Score of 80/100 and a Patient-Rated Wrist Evaluation of 17.5/100. Wrist strength was 86% of the contralateral side. Flexion-extension range was 101° and pain assessed using a visual analog scale was at 1.2 (0-6). We report satisfactory and lasting results with the APSI®, similar to those of scaphoid excision with four-corner fusion and proximal row carpectomy. Hence, the APSI® is a reliable alternative for treating osteoarthritis in SNAC wrists.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2019 |
---|---|
Erschienen: |
2019 |
Enthalten in: |
Zur Gesamtaufnahme - volume:38 |
---|---|
Enthalten in: |
Hand surgery & rehabilitation - 38(2019), 1 vom: 07. Feb., Seite 34-43 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Aribert, M [VerfasserIn] |
---|
Links: |
---|
Themen: |
APSI |
---|
Anmerkungen: |
Date Completed 11.02.2020 Date Revised 11.02.2020 published: Print-Electronic Citation Status MEDLINE |
---|
doi: |
10.1016/j.hansur.2018.10.245 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM292402864 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM292402864 | ||
003 | DE-627 | ||
005 | 20231225073026.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231225s2019 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1016/j.hansur.2018.10.245 |2 doi | |
028 | 5 | 2 | |a pubmed24n0974.xml |
035 | |a (DE-627)NLM292402864 | ||
035 | |a (NLM)30611704 | ||
035 | |a (PII)S2468-1229(18)30433-X | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Aribert, M |e verfasserin |4 aut | |
245 | 1 | 0 | |a Adaptive Proximal Scaphoid Implant (APSI) |b 10-year outcomes in patients with SNAC wrists |
264 | 1 | |c 2019 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 11.02.2020 | ||
500 | |a Date Revised 11.02.2020 | ||
500 | |a published: Print-Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a Copyright © 2018 SFCM. Published by Elsevier Masson SAS. All rights reserved. | ||
520 | |a Radioscaphoid arthroplasty with the Adaptive Proximal Scaphoid Implant (APSI®) is an attractive treatment alternative in the short and medium term for patients with early scaphoid non-union advanced collapse (SNAC) wrist. The purpose of our study was to determine the long-term outcomes of this implant in SNAC wrists. All patients who received the implant from October 2002 to October 2010 were included. A clinical and radiographic study was performed. Our case series included 39 patients, of which 33 were contacted, with a mean follow-up of 10 years (5.8-13.4). Most of the patients had stage-1 SNAC wrist (95%). There were nine complications (27%), seven of which required reoperation: implant dislocation (44%) or progression of the carpal degeneration (33%). Ninety-six percent of patients contacted were satisfied or very satisfied with their surgery (although 21% needed a second surgery) with a Mayo Wrist Score of 80/100 and a Patient-Rated Wrist Evaluation of 17.5/100. Wrist strength was 86% of the contralateral side. Flexion-extension range was 101° and pain assessed using a visual analog scale was at 1.2 (0-6). We report satisfactory and lasting results with the APSI®, similar to those of scaphoid excision with four-corner fusion and proximal row carpectomy. Hence, the APSI® is a reliable alternative for treating osteoarthritis in SNAC wrists | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a APSI | |
650 | 4 | |a Arthroplastie | |
650 | 4 | |a Arthroplasty | |
650 | 4 | |a Implant | |
650 | 4 | |a Poignet | |
650 | 4 | |a Pyrocarbon | |
650 | 4 | |a Pyrocarbone | |
650 | 4 | |a SNAC | |
650 | 4 | |a Wrist | |
700 | 1 | |a Bouju, Y |e verfasserin |4 aut | |
700 | 1 | |a Chaise, F |e verfasserin |4 aut | |
700 | 1 | |a Loubersac, T |e verfasserin |4 aut | |
700 | 1 | |a Gaisne, E |e verfasserin |4 aut | |
700 | 1 | |a Bellemère, P |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Hand surgery & rehabilitation |d 2016 |g 38(2019), 1 vom: 07. Feb., Seite 34-43 |w (DE-627)NLM259761184 |x 2468-1210 |7 nnns |
773 | 1 | 8 | |g volume:38 |g year:2019 |g number:1 |g day:07 |g month:02 |g pages:34-43 |
856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.hansur.2018.10.245 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 38 |j 2019 |e 1 |b 07 |c 02 |h 34-43 |