The rate of successful four-corner arthrodesis with a locking, dorsal circular polyether-ether-ketone (PEEK-Optima) plate

P. C. Rhee, A. Y. Shin

Research output: Contribution to journalArticle

22 Scopus citations

Abstract

The purpose of this study is to evaluate the rate of union after four-corner arthrodesis with a locking, dorsal circular plate comprised of polyether-ether-ketone. A retrospective review was conducted of all patients who underwent four-corner arthrodesis with a locking, dorsal circular plate at our institution from January 2005 to May 2009. The primary outcome measure was radiographic and clinical union. During the study period, 26 consecutive wrists underwent four-corner arthrodesis with a locking, dorsal circular plate. Twenty-three wrists were included. The mean clinical follow-up was 16 months (range 3-37). Union was achieved in 22 of 23 wrists at a mean time of 3 months (range 1-12). There was one partial union that underwent successful revision arthrodesis. In summary, four-corner fusion with a polyether-ether-ketone locking, dorsal circular plate results in high union rates. The use of a radiolucent plate allows for more accurate assessment of union with the biomechanical advantages of a fixed angle construct.

Original languageEnglish (US)
Pages (from-to)767-773
Number of pages7
JournalJournal of Hand Surgery: European Volume
Volume38
Issue number7
DOIs
StatePublished - Sep 1 2013

Keywords

  • Four-corner arthrodesis
  • dorsal circular plate
  • limited wrist arthrodesis

ASJC Scopus subject areas

  • Surgery

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