TY - JOUR
T1 - Four-corner arthrodesis with a locking, dorsal circular polyether-ether-ketone (PEEK-Optima) plate
AU - Rhee, Peter C.
AU - Kakar, Sanjeev
AU - Shin, Alexander Y.
PY - 2012/12
Y1 - 2012/12
N2 - Scaphoidectomy and 4-corner arthrodesis can be a successful salvage procedure for scaphoid nonunion advanced collapse and scapholunate advanced collapse. Traditional methods of fixation include Kirschner wires, staples, and/or headless compression screws. Nonlocking, dorsal circular plates, manufactured from stainless steel, have been advocated to allow early wrist range of motion and improved union rates. However, the reported union rates have been variable and inconsistent. This wide results have been attributed to the difficulty in assessing union with plain film radiograph due to the radio-opaque plate. Recently, a locking, dorsal circular plate, comprised of a radiolucent polyether-ether-ketone (PEEK-Optima), has been introduced with the additional benefit of providing a fixed-angle construct and allowing a more accurate assessment of bone union with plain film imaging studies.
AB - Scaphoidectomy and 4-corner arthrodesis can be a successful salvage procedure for scaphoid nonunion advanced collapse and scapholunate advanced collapse. Traditional methods of fixation include Kirschner wires, staples, and/or headless compression screws. Nonlocking, dorsal circular plates, manufactured from stainless steel, have been advocated to allow early wrist range of motion and improved union rates. However, the reported union rates have been variable and inconsistent. This wide results have been attributed to the difficulty in assessing union with plain film radiograph due to the radio-opaque plate. Recently, a locking, dorsal circular plate, comprised of a radiolucent polyether-ether-ketone (PEEK-Optima), has been introduced with the additional benefit of providing a fixed-angle construct and allowing a more accurate assessment of bone union with plain film imaging studies.
KW - 4-corner arthrodesis
KW - Xpode cup
KW - dorsal circular plate
KW - locking dorsal circular plate
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U2 - 10.1097/BTH.0b013e31826d221a
DO - 10.1097/BTH.0b013e31826d221a
M3 - Article
C2 - 23160559
AN - SCOPUS:84870206417
SN - 1089-3393
VL - 16
SP - 236
EP - 241
JO - Techniques in Hand and Upper Extremity Surgery
JF - Techniques in Hand and Upper Extremity Surgery
IS - 4
ER -