{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:59:17Z","timestamp":1777661957093,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,12,21]],"date-time":"2021-12-21T00:00:00Z","timestamp":1640044800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Scaphoid excision 4-corner fusion is a motion-sparing procedure in patients with advanced radioscaphoid arthritis. This study introduces an alternate technique for scaphoid excision 4-corner fusion using a parallel Kirschner wire (K-wire) construct across the midcarpal joints that leads to reliable fusion rates, and good patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This is a single-surgeon, retrospective study of patients who underwent scaphoid excision 4-corner fusion, using a parallel K-wire construct across the midcarpal joints. Once fusion was achieved, K-wires were removed. Radiographic union rate, time to union, capitolunate angle, capitolunate coverage, and amount of midcarpal settling are measured. Patient-reported outcome measures and descriptive statistics are presented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Sixty-five wrists were included in this study with a mean age of 50.1 years. One patient was lost to follow-up. All 64 wrists (100%) fused at an average of 2.6 months. The mean capitolunate angle was 7\u00b0, and capitolunate coverage was 99.2%. Fifty-two patients (81%) had adequate radiographs for measurement. Average midcarpal settling was 1.1 mm. Thirty-two patients (51%) were available for long-term follow-up at an average of 5.3 years (0.7-10.2 years), and participated in patient reported outcomes (PRO) surveys. The mean Quick Disabilities of the Arm, Shoulder, and Hand score was 16.6, and numeric pain rating scale score was 1.8.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Parallel K-wire placement across the midcarpal joints with scaphoid leads to a high rate of fusion with good patient outcomes long term. Midcarpal settling that occurs through dynamic compression around the K-wires may have contributed to bony fusion. This technique may provide an alternative approach to achieving reliable fusion across the midcarpal joints.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447211057302","type":"journal-article","created":{"date-parts":[[2021,12,22]],"date-time":"2021-12-22T01:45:36Z","timestamp":1640137536000},"page":"589-597","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Parallel K-Wire Placement Leads to Fusion and Midcarpal Settling in Scaphoid Excision Four-Corner Fusion"],"prefix":"10.1177","volume":"18","author":[{"given":"Dann","family":"Laudermilch","sequence":"first","affiliation":[{"name":"University of Pittsburgh Medical Center, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro","family":"Morales-Restrepo","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6269-6515","authenticated-orcid":false,"given":"Sumail","family":"Bhogal","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert A.","family":"Kaufmann","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,12,21]]},"reference":[{"key":"bibr1-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(84)80223-3"},{"key":"bibr2-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1054\/JHSB.1999.0066"},{"key":"bibr3-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(94)90178-3"},{"key":"bibr4-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.2000.0434"},{"key":"bibr5-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000227737.90007.5d"},{"key":"bibr6-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1240757"},{"key":"bibr7-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2005.08.012"},{"key":"bibr8-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.20160"},{"key":"bibr9-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1177\/1753193408100954"},{"key":"bibr10-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2000.16364"},{"key":"bibr11-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0b013e31802caa87"},{"key":"bibr12-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.12.022"},{"key":"bibr13-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.01.023"},{"key":"bibr14-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1177\/1558944717702468"},{"key":"bibr15-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1177\/1753193408094444"},{"key":"bibr16-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.04.007"},{"key":"bibr17-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.02.001"},{"key":"bibr18-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.08.007"},{"key":"bibr19-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsb.2006.08.016"},{"key":"bibr20-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1177\/1753193413475962"},{"key":"bibr21-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2312-9"},{"key":"bibr22-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-014-9617-y"},{"key":"bibr23-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2007.02.005"},{"key":"bibr24-15589447211057302","doi-asserted-by":"publisher","DOI":"10.1016\/j.orthres.2003.11.007"},{"issue":"5","key":"bibr25-15589447211057302","first-page":"1038","volume":"87","author":"Beaton 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