{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T01:41:48Z","timestamp":1777686108045,"version":"3.51.4"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jnl Wrist Surg"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Radioscapholunate (RSL) fusion is a surgical option to manage radiocarpal osteoarthritis. Many authors upgrade the procedure by adding distal scaphoid excision with or without excision of the triquetrum. Our objective was to identify the prognostic factors for good clinical and radiographic outcomes of RSL arthrodesis.<\/jats:p><jats:p>\n          Purpose\u2003Distal scaphoid excision improves both scaphotrapeziotrapezoidal osteoarthritis and radiocarpal fusion, and excision of the triquetrum is not critical to achieving satisfactory outcomes.<\/jats:p><jats:p>\n          Methods\u2003In this retrospective and bicentric investigation, all wrists were managed with RSL fusion for posttraumatic radiocarpal osteoarthritis. A total of 85 patients were included and evaluated at the revision by clinical (pain, wrist motion, and strength), functional (Disabilities of the Arm, Shoulder, and Hand questionnaire, Patient-Related Wrist Evaluation score, and Modified Mayo Wrist Score), and radiological (scaphotrapeziotrapezoidal, midcarpal osteoarthritis, and radiocarpal nonunion) examinations. We assessed prognostic factors for clinical and radiographic (osteoarthritis and nonunions) outcomes.<\/jats:p><jats:p>\n          Results\u2003The average follow-up was 9.1 years (1\u201321.4). Work-related accidents adversely impacted the clinical outcomes, and distal scaphoid excision significantly improved them and decreased scaphotrapeziotrapezoidal osteoarthritis and nonunion. Neither distal scaphoid excision nor excision of the triquetrum influenced midcarpal osteoarthritis. Radiocarpal fusion was significantly promoted by memory staples and bone grafting.<\/jats:p><jats:p>\n          Discussion\u2003Distal scaphoid excision should be preferred to improve the functional results while decreasing scaphotrapeziotrapezoidal osteoarthritis and radiocarpal nonunion rates. Excision of the triquetrum appears to be an alternative to radioulnar resection\u2013arthroplasty to solve ulnocarpal impaction syndrome. Strict surgical procedure must be observed to promote RSL fusion combining solid bone fixation and the use of bone graft.<\/jats:p><jats:p>\n          Level of evidence\u2003This is a level IV, case series, retrospective series.<\/jats:p>","DOI":"10.1055\/s-0039-1688939","type":"journal-article","created":{"date-parts":[[2019,5,29]],"date-time":"2019-05-29T00:04:38Z","timestamp":1559088278000},"page":"456-462","source":"Crossref","is-referenced-by-count":12,"title":["Radioscapholunate Fusion for Radiocarpal Osteoarthritis: Prognostic Factors of Clinical and Radiographic Outcomes"],"prefix":"10.1055","volume":"08","author":[{"given":"Benjamin","family":"Degeorge","sequence":"additional","affiliation":[{"name":"Department of Hand and Upper Extremity Surgery, Peripheral Nerves Surgery, Lapeyronie University Hospital of Montpellier, Montpellier, France"},{"name":"Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre Chirurgical Emile Gall\u00e9, University Hospital of Nancy, Nancy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Montoya-Faivre","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre Chirurgical Emile Gall\u00e9, University Hospital of Nancy, Nancy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7ois","family":"Dap","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre Chirurgical Emile Gall\u00e9, University Hospital of Nancy, Nancy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilles","family":"Dautel","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre Chirurgical Emile Gall\u00e9, University Hospital of Nancy, Nancy, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bertrand","family":"Coulet","sequence":"additional","affiliation":[{"name":"Department of Hand and Upper Extremity Surgery, Peripheral Nerves Surgery, Lapeyronie University Hospital of Montpellier, Montpellier, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"Chammas","sequence":"additional","affiliation":[{"name":"Department of Hand and Upper Extremity Surgery, Peripheral Nerves Surgery, Lapeyronie University Hospital of Montpellier, Montpellier, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,5,28]]},"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1688939.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,12,4]],"date-time":"2019-12-04T23:38:46Z","timestamp":1575502726000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1688939"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,28]]},"references-count":0,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2019,12,4]]},"published-print":{"date-parts":[[2019,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1688939","relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"value":"2163-3916","type":"print"},{"value":"2163-3924","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5,28]]}}}