Ghoneim Sherif, Kamal Raafat, Semaya Ahmed, Hasan Mohammad
Department of Orthopedic Surgery, Hadara University Hospital, University of Alexandria, Alexandria, Egypt.
Int Orthop. 2025 Feb;49(2):467-474. doi: 10.1007/s00264-024-06381-4. Epub 2024 Nov 25.
Scaphocapitate fusion (SCF) is an important surgical option for carpal pathologies, which are difficult to manage as Kienböck's disease. With the advantages of arthroscopy combined with percutaneous fixation techniques, arthroscopic scaphocapitate fusion can have the best outcome for the patient from a functional perspective. This study aims to evaluate the clinical, radiological, and functional results of arthroscopic SCF.
The study included thirty patients with stage IIIB and IIIC Kienböck's disease. The articular surfaces were prepared using arthroscopic burr then fixed by Herbert screw. The mean follows up period was about 29 months.
SCF was achieved in approximately seven weeks. There was a statistically significant difference in pre- and post-operative grip strength and Mayo wrist score.
According to our study findings, arthroscopic SCF may be performed with significant improvements and satisfactory clinical and functional results in patients with stage IIIB and IIIC Kienböck's disease.
舟月融合术（SCF）是治疗腕关节疾病的一种重要手术选择，对于诸如月骨无菌性坏死等难以处理的疾病而言。结合关节镜与经皮固定技术的优势，从功能角度来看，关节镜下舟月融合术可为患者带来最佳疗效。本研究旨在评估关节镜下舟月融合术的临床、影像学及功能结果。
本研究纳入了30例处于IIIB期和IIIC期的月骨无菌性坏死患者。使用关节镜磨钻对关节面进行处理，然后用Herbert螺钉进行固定。平均随访期约为29个月。
大约7周时实现了舟月融合。术前和术后握力及梅奥腕关节评分存在统计学上的显著差异。
根据我们的研究结果，对于IIIB期和IIIC期月骨无菌性坏死患者，实施关节镜下舟月融合术可能会带来显著改善以及令人满意的临床和功能结果。
