{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T21:33:57Z","timestamp":1781300037462,"version":"3.54.1"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jnl Wrist Surg"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:p>\n            Background\u2003Midcarpal \u201cfour-corner\u201d wrist arthrodesis may be done from an open arthrotomy or arthroscopically.<\/jats:p><jats:p>\n            Purpose\u2003This study aimed to examine the results of the recently described arthroscopic four-corner arthrodesis and whether the procedure seems to have any merit compared with the open technique.<\/jats:p><jats:p>\n            Patients and Methods\u2003We retrospectively identified eight patients with nine cases of arthroscopic four-corner arthrodesis performed at our institution, 2014 to 2017. The underlying pathologies were scapholunate advanced collapse (n\u2009=\u20096), Preiser's disease (n\u2009=\u20091), radioscaphoid (n\u2009=\u20091), or capitolunar (n\u2009=\u20091) osteoarthritis. Osteosynthesis was done with cannulated compression screws.<\/jats:p><jats:p>\n            Results\u2003Operating time for the first surgery was 198 minutes while the final one lasted 132 minutes. All patients achieved fusion. Three patients required a reoperation; one for screw malposition with screw removal, one for tendon reconstruction and screw removal due to a tendon injury induced by a retracted screw, and one for scaphoid impingement with removal of the scaphoid remnants. One patient experienced a probable superficial radial nerve injury. The follow-up time was 5 to 16 months.<\/jats:p><jats:p>\n            Conclusion\u2003The arthroscopic approach is technically extremely demanding and has a learning curve. Thorough resection of the scaphoid is recommended to avoid potential impingement.<\/jats:p><jats:p>\n            Level of Evidence\u2003This is a level IV, retrospective case series.<\/jats:p>","DOI":"10.1055\/s-0039-1678673","type":"journal-article","created":{"date-parts":[[2019,2,20]],"date-time":"2019-02-20T23:58:19Z","timestamp":1550707099000},"page":"202-208","source":"Crossref","is-referenced-by-count":23,"title":["The Learning Curve and Pitfalls of Arthroscopic Four-Corner Arthrodesis"],"prefix":"10.1055","volume":"08","author":[{"given":"Aleksi","family":"Vihanto","sequence":"additional","affiliation":[{"name":"Division of Diseases of the Musculoskeletal System, Department of Hand Surgery, Turku University Hospital and the University of Turku, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tero","family":"Kotkansalo","sequence":"additional","affiliation":[{"name":"Division of Diseases of the Musculoskeletal System, Department of Hand Surgery, Turku University Hospital and the University of Turku, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"P\u00e4\u00e4kk\u00f6nen","sequence":"additional","affiliation":[{"name":"Division of Diseases of the Musculoskeletal System, Department of Hand Surgery, Turku University Hospital and the University of Turku, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,2,20]]},"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1678673.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,3]],"date-time":"2019-06-03T22:31:09Z","timestamp":1559601069000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1678673"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,20]]},"references-count":0,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2019,6,3]]},"published-print":{"date-parts":[[2019,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1678673","relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"value":"2163-3916","type":"print"},{"value":"2163-3924","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,20]]}}}