Abstract:
BACKGROUND:Four-corner fusion of the wrist is an option for management of non-union scaphoid with painful arthritis of the wrist. Various surgical techniques have been devised for four-corner fusion, with inconsistent results. We present our experience of four-corner fusion achieved using a standard H-plate, designed originally for anterior cervical plating. MATERIALS AND METHODS:The study is a retrospective analysis of six cases of painful wrist arthritis resulting from nonunion of scaphoid treated by four-corner fusion, between 1996 and 2004. The average duration of follow-up was 5.8 years. Each patient was evaluated clinically according to the rating scales described by Bach. RESULTS:The mean grip-strength calculated as a percentage of the uninvolved side was 47% pre-operatively, and 74% post- operatively at the final follow-up. The difference between the preoperative and postoperative 'pain ratings' and 'activity ratings' was found to be statistically significant (P<0.001). Mean time to fusion was 16.1 weeks. Dorsal impingement was the most common associated problem. CONCLUSIONS:H-plate, used for four-corner fusion, provides rigid fixation, ensures fusion, and is a good alternative to the available options.
journal_name
Indian J Orthopjournal_title
Indian journal of orthopaedicsauthors
Gupta RK,Chauhan DS,Singh Hdoi
10.4103/0019-5413.61908subject
Has Abstractpub_date
2010-04-01 00:00:00pages
208-11issue
2eissn
0019-5413issn
1998-3727journal_volume
44pub_type
杂志文章abstract:Background:STITCHLESS percutaneous endoscopic cervical discectomy s[PECD] is safe, precise, targeted, and a complete endoscopic procedure to treat soft cervical disc herniation with unilateral radiculopathy. It allows direct visualization of herniated fragment and its removal, inspection of decompressed nerve root in a...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_283_16
更新日期:2017-11-01 00:00:00
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journal_title:Indian journal of orthopaedics
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doi:10.4103/0019-5413.37007
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doi:10.4103/0019-5413.83954
更新日期:2011-09-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_92_19
更新日期:2019-11-01 00:00:00
abstract::[This corrects the article on p. 656 in vol. 49, PMID: 26806974.]. ...
journal_title:Indian journal of orthopaedics
pub_type: 已发布勘误
doi:10.4103/0019-5413.181808
更新日期:2016-05-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.43400
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journal_title:Indian journal of orthopaedics
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journal_title:Indian journal of orthopaedics
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doi:10.4103/ortho.IJOrtho_486_17
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.168768
更新日期:2015-11-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.97260
更新日期:2012-07-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
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更新日期:2020-01-24 00:00:00
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journal_title:Indian journal of orthopaedics
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doi:10.1007/s43465-020-00257-6
更新日期:2020-09-18 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.136311
更新日期:2014-07-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.80049
更新日期:2011-05-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.1007/s43465-020-00041-6
更新日期:2020-01-20 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.197559
更新日期:2017-01-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.32049
更新日期:2007-04-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.1007/s43465-019-00009-1
更新日期:2020-01-31 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.128762
更新日期:2014-03-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_148_19
更新日期:2019-11-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.106935
更新日期:2013-01-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.36989
更新日期:2007-10-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_231_16
更新日期:2017-11-01 00:00:00
abstract:Study design:Randomized controlled trial. Objectives:To study the magnitude of bone loss at forearm in persons with acute spinal cord injury (SCI) & the effect of early administration of Zoledronic acid on its' prevention. Settings:Sawai Man Singh Medical College, Jaipur, India. Methods:Sixty patients with acute SCI...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.1007/s43465-020-00158-8
更新日期:2020-06-02 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.101037
更新日期:2012-09-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.139835
更新日期:2014-09-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.32039
更新日期:2007-04-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.121595
更新日期:2013-11-01 00:00:00