Evaluación clínico radiográfica de una serie de 18 carpectomías de la primera hilera
- Cadenas Grande, Encarnación
- Correa Gámiz, Juan José
- Gómez Sánchez, Rafael
- Pajares López, M.
- Hernández Cortés, Pedro
ISSN: 1578-9756
Any de publicació: 2014
Volum: 31
Número: 2
Pàgines: 25-32
Tipus: Article
Altres publicacions en: Revista de la Sociedad Andaluza de Traumatología y Ortopedia
Resum
Objectives. To analyze functional outcomes and satisfaction in a series of 18 carpectomies. Materials and Methods. Retrospective study of a series of 18 cases who underwent proximal row carpectomy (4-SNAC, 6-SLAC, 5 Kienböck, 1-scaphoid nonunion, 1-Preisser, and 1-perilunar chronic carpal dislocation), mean follow- up of 34 months. Clinical evaluation through Mayo Wrist Score, Quick DASH, VAS, range of motion, degree of satisfaction; and an assessment of radiographic changes. Results. Preoperative pain improved 4.13 points, and Quick Dash score was reduced 39.41 points. The range of motion average was: fl exion 38º , extension 46 º, 11 º 22 º radial and ulnar deviation. The mean grip strength was 33.2 kg after surgery. There were signifi cant differences between preoperative VAS and Quick DASH and postoperative scores (p <0.001). A positive correlation between age and postoperative pain was found. Conclusions. The carpectomy is a procedure with low complication rate, which preserve funtional mobility and grip strength acording to Palmer's criteria, and provides sustantial pain improvement. We observed the best results in women and older patients. The fl ap interposition doesn´t prevent radiographic degeneration.