What is a scaphoid excision?

Four-corner fusion and scaphoid excision is a reliable procedure used to treat scapholunate advanced collapse wrist that improves pain and preserves range of motion. Multiple methods of achieving fixation have been described for the procedure including K-wires, staples, and headless compression screws.

How long does it take to recover from scaphoid surgery?

Healing: Average time to union of the scaphoid is twelve weeks. Depending on the rigidity of the bone fixation and need for bone graft, the wrist may be casted for four, six, eight or 12 weeks.

What is scaphoid excision and four corner fusion?

Scaphoid excision with four-corner fusion is commonly used as a partial motion-preserving salvage procedure for treating wrists with symptomatic appropriately staged scapholunate advanced collapse (SLAC)1 or scaphoid nonunion advanced collapse (SNAC).

What happens after scaphoid surgery?

How do you recover from scaphoid fracture surgery? Recovery time varies depending on the type of procedure you’ve had, as well as how long it takes your body to heal. Scaphoid fractures tend to take longer to heal than other breaks. You may have to wear a cast or splint for up to 6 months.

Is wrist fusion surgery painful?

While you will lose some range of motion after wrist fusion surgery, you will no longer have pain, and you will regain the lost strength in your wrist over time. You will once again be able to grip and have strong flexion in your hand.

What can I expect after wrist fusion surgery?

After surgery, you will wear an elbow-length cast for about six weeks. This holds the wrist still while the ends of the bones fuse together. Your surgeon will want to check your hand within five to seven days. Stitches will be removed after 10 to 14 days, although most of them will have been absorbed by your body.

Can you drive with a fused wrist?

You are advised not to drive for the first two weeks following the operation. You should be able to grip the steering wheel without pain or distraction, look over your shoulder and perform and emergency stop. You are advised to inform your insurance provider in advance to returning to driving.

What is Scaphoid excision with four-corner fusion?

Is distal Scaphoid excision an alternative to salvage surgery for persistent nonunion?

Background:Current treatment options for persistent scaphoid nonunion are limited to salvage procedures such as proximal row carpectomy (PRC) or 4-corner fusion (4CF). Several small studies have demonstrated that distal scaphoid excision may provide a simpler alternative with faster recovery.

How is the scaphoid excised and fixed?

That is, through a dorsal approach the scaphoid and tip of the radial styloid were excised. The capitate, lunate, triquetrum, and hamate articular surfaces were then prepared down to bleeding bone. Bone grafts from the scaphoid and radial styloid were then inserted and fixation undertaken.

What are the treatment options for scaphoid nonunions?

Surgical treatment is directed at correcting the deformity with open reduction and internal fixation with bone grafting. Recently, vascularized bone grafts have gained popularity in the treatment of scaphoid nonunions, particularly in cases with avascular necrosis.