{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T23:37:06Z","timestamp":1779406626522,"version":"3.53.1"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Scapholunate advanced collapse and scaphoid nonunion advanced collapse are debilitating degenerative wrist conditions. Four-corner fusion (4CF) and lunocapitate fusion (LCF) are commonly used techniques, with headless compression screws (HCS) improving outcomes in recent years. However, few direct comparisons of 4CF and LCF using HCS exist. This systematic review and meta-analysis aim to address this knowledge gap.<\/jats:p>\n                  <jats:p>A comprehensive literature search was conducted across multiple databases, including PubMed, Embase, Google Scholar, Medline, and Cochrane Library. Articles published between 2000 and 2023 were screened in adherence to PRIMSA guidelines. Data extraction focused on primary outcomes such as range of motion, grip strength, and Disabilities of the Arm, Shoulder, and Hand (DASH) scores, as well as secondary outcomes like nonunion and reoperation rates. Pooled estimates for outcomes were calculated using random-effect meta-analyses to account for heterogeneity, with subgroup analyses and statistical significance evaluated at p\u2009&lt;\u20090.05. Results were presented with confidence intervals and forest plots.<\/jats:p>\n                  <jats:p>Seventeen studies with a total of 281 patients were included. Both techniques demonstrate comparable flexion\u2013extension arcs (72.7 vs. 73.9\u2009degrees), with LCF providing a nonsignificant trend toward better grip strength (39.56 vs. 22.87\u2009kg) and lower DASH scores (11.65 vs. 17.44). However, LCF exhibits higher complication rates, including nonunion (9.15 vs. 3.91%) and reoperation (15.03 vs. 5.47%).<\/jats:p>\n                  <jats:p>Overall, both techniques provide comparable outcomes. The more anatomical arthrodesis provided by LCF may preserve function better, but it has a more significant complication profile and larger studies are required to investigate its utility over 4CF.<\/jats:p>\n                  <jats:p>Therapeutic IV.<\/jats:p>","DOI":"10.1055\/a-2622-4068","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T19:03:56Z","timestamp":1750100636000},"page":"293-298","source":"Crossref","is-referenced-by-count":0,"title":["Lunocapitate versus Four-Corner Arthrodesis Using Headless Compression Screws in Treatment of Scapholunate Advanced Collapse and Scaphoid Nonunion Advanced Collapse Wrist: Systematic Review and Meta-analysis"],"prefix":"10.1055","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1198-8784","authenticated-orcid":false,"given":"Hong Swo","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Norwest Private Hospital, Bella Vista, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Massard-Combe","sequence":"additional","affiliation":[{"name":"Specialty Orthopaedics Upper Limb Surgery Research Foundation, Bella Vista, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara Sadat","family":"Farshidfar","sequence":"additional","affiliation":[{"name":"Specialty Orthopaedics Upper Limb Surgery Research Foundation, Bella Vista, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Baba","sequence":"additional","affiliation":[{"name":"Specialty Orthopaedics Upper Limb Surgery Research Foundation, Bella Vista, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,6,16]]},"reference":[{"issue":"202","key":"ref1","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1097\/00003086-198601000-00008","article-title":"Evolution of arthritis of the wrist","author":"H K Watson","year":"1986","journal-title":"Clin Orthop Relat Res"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/S0749-0712(21)00767-8","article-title":"Common pathways of degenerative arthritis of the wrist","volume":"3","author":"R H Harrington","year":"1987","journal-title":"Hand Clin"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1055\/s-0032-1329616","article-title":"Long-term results after midcarpal arthrodesis","volume":"1","author":"F Neubrech","year":"2012","journal-title":"J Wrist Surg"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"112","DOI":"10.5312\/wjo.v13.i1.112","article-title":"Long-term outcomes of the four-corner fusion of the wrist: a systematic review","volume":"13","author":"O Andronic","year":"2022","journal-title":"World J Orthop"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1053\/jhsu.2000.16364","article-title":"Capitolunate arthrodesis with scaphoid and triquetrum excision","volume":"25","author":"J H Calandruccio","year":"2000","journal-title":"J Hand Surg Am"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1097\/BTH.0b013e31802caa87","article-title":"Capitolunate arthrodesis with compression screws","volume":"11","author":"J N Goubier","year":"2007","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"365.e1","DOI":"10.1016\/j.jhsa.2019.10.007","article-title":"Capitolunate arthrodesis: a systematic review","volume":"45","author":"J C Dunn","year":"2020","journal-title":"J Hand Surg Am"},{"issue":"08","key":"ref8","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.1016\/j.jhsa.2009.05.018","article-title":"Clinical outcomes of scaphoid and triquetral excision with capitolunate arthrodesis versus scaphoid excision and four-corner arthrodesis","volume":"34","author":"R G Gaston","year":"2009","journal-title":"J Hand Surg Am"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"1130e","DOI":"10.1097\/PRS.0000000000009116","article-title":"Two-corner fusion or four-corner fusion of the wrist for midcarpal osteoarthritis? A multicenter prospective comparative cohort study","volume":"149","author":"L S Duraku","year":"2022","journal-title":"Plast Reconstr Surg"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1177\/17531934231209872","article-title":"Lunocapitate versus four-corner fusion in scapholunate or scaphoid nonunion advanced collapse: a randomized controlled trial","volume":"49","author":"T Schriever","year":"2024","journal-title":"J Hand Surg Eur Vol"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"93.e1","DOI":"10.1016\/j.jhsa.2023.04.018","article-title":"Two-, three-, or four-corner arthrodesis for midcarpal osteoarthritis: a systematic review and meta-analysis","volume":"50","author":"C A Hundepool","year":"2025","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1007\/s00402-016-2416-x","article-title":"Four-corner fusion: comparison of patient satisfaction and functional outcome of conventional K-wire technique vs. a new locking plate","volume":"136","author":"J F Hernekamp","year":"2016","journal-title":"Arch Orthop Trauma Surg"},{"issue":"06","key":"ref13","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1016\/j.bjps.2018.12.033","article-title":"Four-corner fusion: comparing outcomes of conventional K-wire-, locking plate-, and retrograde headless compression screw fixations","volume":"72","author":"H C Erne","year":"2019","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"01","key":"ref14","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.jhsb.2006.08.016","article-title":"Complications of circular plate fixation for four-corner arthrodesis","volume":"32","author":"M K Shindle","year":"2007","journal-title":"J Hand Surg Eur Vol"},{"issue":"03","key":"ref15","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1016\/j.jhsa.2011.12.022","article-title":"Results of a method of 4-corner arthrodesis using headless compression screws","volume":"37","author":"T Ozyurekoglu","year":"2012","journal-title":"J Hand Surg Am"},{"issue":"05","key":"ref16","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1177\/1753193409105683","article-title":"Long-term results of lunocapitate arthrodesis with scaphoid excision for SLAC and SNAC wrists","volume":"34","author":"A Ferreres","year":"2009","journal-title":"J Hand Surg Eur Vol"},{"issue":"08","key":"ref17","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1177\/15589447231174041","article-title":"Clinical outcomes of lunocapitate arthrodesis: a retrograde single-screw approach","volume":"19","author":"A Mirza","year":"2024","journal-title":"Hand (N Y)"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2622-4068.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T22:55:54Z","timestamp":1779404154000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2622-4068"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,16]]},"references-count":17,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2026,5,21]]},"published-print":{"date-parts":[[2026,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2622-4068","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"value":"2163-3916","type":"print"},{"value":"2163-3924","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,16]]}}}