{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T18:50:48Z","timestamp":1771872648580,"version":"3.50.1"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Single- or bicolumn limited intercarpal fusion, also called one- or two-column fusion, has been introduced as an alternative to four-corner fusion. The rationale behind this is obtaining less need for bone grafting and consequently improving the chances of the union.<\/jats:p><jats:p>\n          Method\u2003From August 2014 to October 2020, 45 consecutive patients (15 women), with a mean age of 58.4 years (range: 35\u201379), have been treated for scapholunate advanced collapse or scaphoid nonunion advanced collapse wrist. In 33 cases, the surgery was performed as two-column fusion, and in 12 cases as one-column fusion. The union was determined by a computed tomography (CT) scan or X-ray follow-up studies. The pain assessments (visual analog score: 0\u2013100), range of motion (ROM), grip strength, and Quick Disabilities of the Arm, Shoulder, and Hand score were prospectively included.<\/jats:p><jats:p>\n          Results\u2003Of 45 patients, 43 were available for the follow-up, at a mean of 35 months (range: 12\u201368). All patients but two achieved union at a mean of 9.5 weeks (range: 5\u201325 weeks). Pain diminished from 60.3 (mean) preoperatively to 16.7 (mean) postoperatively (p\u2009=\u20090.0001). Grip strength slightly increased from 28.2 KgF (mean) to 29 KgF (mean) (not significantly, p\u2009=\u20090.86). Quick Disability of the Arm, Shoulder, and Hand score improved from 39.5 (median) before the surgery to 11 (median) after the surgery (p\u2009=\u20090.0004). The postoperative ROM of 62\/37\u2009degrees (mean) were recorded for total dorsovolar\/radioulnar flexions, respectively. Three patients were converted to total wrist fusion and one to total wrist arthroplasty. One had a rearthrodesis to two-column fusion, which united.<\/jats:p><jats:p>\n          Conclusion\u2003One- and two-column fusion showed significant improvement in pain and function, with minimal impairment of the grip strength on the short- to mid-term follow-up. A union rate of 95% and an acceptable complication rate were achieved, without fusing all carpals.<\/jats:p><jats:p>\n          Level of Evidence\u2003Prospective, cohort study, level III.<\/jats:p>","DOI":"10.1055\/s-0043-1762932","type":"journal-article","created":{"date-parts":[[2023,3,4]],"date-time":"2023-03-04T00:14:38Z","timestamp":1677888878000},"page":"016-023","source":"Crossref","is-referenced-by-count":6,"title":["Single- and Bicolumn Limited Intercarpal Fusion: A Solution for the SLAC or SNAC Wrist"],"prefix":"10.1055","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2311-3043","authenticated-orcid":false,"given":"Lars","family":"Solg\u00e5rd","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Herlev\/Gentofte University Hospital of Copenhagen, Hellerup, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7150-2938","authenticated-orcid":false,"given":"Robert","family":"Gvozdenovic","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Herlev\/Gentofte University Hospital of Copenhagen, Hellerup, Denmark"},{"name":"Faculty of Health and Medical Sciences, Institute of Clinical Medicine, University of Copenhagen, Copenhagen N, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,3,3]]},"reference":[{"issue":"08","key":"ref1","doi-asserted-by":"crossref","first-page":"1672","DOI":"10.1016\/j.jhsa.2015.04.033","article-title":"Proximal row carpectomy","volume":"40","author":"D P Green","year":"2015","journal-title":"J Hand Surg Am"},{"issue":"06","key":"ref2","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":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1177\/1753193414554359","article-title":"Clinical outcomes of proximal row carpectomy versus four-corner arthrodesis for post-traumatic wrist arthropathy: a systematic review","volume":"40","author":"B M Saltzman","year":"2015","journal-title":"J Hand Surg Eur Vol"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1177\/1753193408100954","article-title":"Proximal row carpectomy vs four corner fusion for scapholunate (Slac) or scaphoid nonunion advanced collapse (Snac) wrists: a systematic review of outcomes","volume":"34","author":"J S Mulford","year":"2009","journal-title":"J Hand Surg Eur Vol"},{"issue":"01","key":"ref5","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":"ref6","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1016\/j.jhsa.2016.12.004","article-title":"Total wrist arthroplasty","volume":"42","author":"A Halim","year":"2017","journal-title":"J Hand Surg Am"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1016\/j.hansur.2020.04.002","article-title":"Radioscapholunate arthrodesis versus radiolunate arthrodesis in rheumatoid wrist surgery: clinical and radiographic outcomes","volume":"39","author":"M Arboucalot","year":"2020","journal-title":"Hand Surg Rehabil"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/j.otsr.2014.06.025","article-title":"Wrist osteoarthritis","volume":"101","author":"J Laulan","year":"2015","journal-title":"Orthop Traumatol Surg Res"},{"issue":"05","key":"ref9","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1016\/S0363-5023(05)80437-X","article-title":"Upper extremity function after wrist arthrodesis","volume":"20","author":"A C Weiss","year":"1995","journal-title":"J Hand Surg Am"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"S37","DOI":"10.1016\/j.otsr.2011.03.007","article-title":"The arthritic wrist. 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