{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T23:01:38Z","timestamp":1747695698825},"reference-count":0,"publisher":"Index Copernicus","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,10,31]]},"abstract":"<jats:p>Background. Persistent, long-lasting pseudoarthrosis of the scaphoid or scapholunate dissociation results in arthrosis of the radio-scaphoid joint termed scaphoid non-union advanced collapse (SNAC) or scapholunate advanced collapse (SLAC), which causes pain, reduction in wrist movements and weakness of the hand grip. Scaphoid resection followed by \u201efour-corner\u201d midcarpal arthrodesis is a recognized treatment for this condition. \nMaterial and methods. The study evaluated the results of treatment of 27 patients with arthrosis of the wrist type SNAC (n = 15) and SLAC (n = 12) after an average of 4 years after surgery (range from 2 to 8 years)\nResults. The mean numerical pain score for wrist movements was 3.6 (range: 1-5). The mean active range of wrist movement (affected vs healthy hand) was: flexion 27\u00b0 vs 58\u00b0 (46%), extension 27\u00b0 vs 52\u00b0 (53%), ulnar deviation 16\u00b0 vs 26\u00b0 (62%), radial deviation 9\u00b0 vs 17\u00b0 (53%), total grip strength 22 kG vs 29 kG (76%), The mean DASH score was 22 (range: 4-36) and the mean Mayo score was 72 (range: 65-80). None of the patients required revision surgery. Of the 16 patients employed prior to the surgery, 10 returned to work after a mean of 4 months of sick leave.\nConclusions. 1. The results of the treatment presented in this stu\u00addy, after a relatively long follow-up period, show a beneficial effect of the surgery on pain intensity and improvement of hand dexterity, at the cost of \na mild reduction in wrist movements. 2. It seems that this technique offers good, predicta\u00adble outcomes and may be recommended for Wa\u00adt\u00adson 2\u00b0 and 3\u00b0 SNAC or SLAC wrist arthrosis.\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0012.8275","type":"journal-article","created":{"date-parts":[[2019,1,4]],"date-time":"2019-01-04T09:37:15Z","timestamp":1546594635000},"page":"389-399","source":"Crossref","is-referenced-by-count":4,"title":["Outcomes after Scaphoid Excision and Midcarpal Arthrodesis for SNAC and SLAC Wrist Arthritis"],"prefix":"10.5604","volume":"20","author":[{"given":"Andrzej","family":"\u017byluk","sequence":"first","affiliation":[{"name":"Klinika Chirurgii Og\u00f3lnej i Chirurgii R\u0119ki, Pomorski Uniwersytet Medyczny w Szczecinie, Polska \/ Department of General and Hand Surgery, Pomeranian Medical University in Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnieszka","family":"Mazur-Grzesiuk","sequence":"additional","affiliation":[{"name":"Klinika Chirurgii Og\u00f3lnej i Chirurgii R\u0119ki, Pomorski Uniwersytet Medyczny w Szczecinie, Polska \/ Department of General and Hand Surgery, Pomeranian Medical University in Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","container-title":["Ortopedia Traumatologia Rehabilitacja"],"original-title":[],"deposited":{"date-parts":[[2019,1,4]],"date-time":"2019-01-04T09:37:16Z","timestamp":1546594636000},"score":1,"resource":{"primary":{"URL":"https:\/\/ortopedia.com.pl\/gicid\/01.3001.0012.8275"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,31]]},"references-count":0,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,10,31]]}},"URL":"https:\/\/doi.org\/10.5604\/01.3001.0012.8275","relation":{},"ISSN":["1509-3492","2084-4336"],"issn-type":[{"value":"1509-3492","type":"print"},{"value":"2084-4336","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,10,31]]}}}