What bones are fused in a 4 corner Fusion?

What bones are fused in a 4 corner Fusion?

The procedure involves intercarpal arthrodesis of the capitate, lunate, triquetrum, and hamate bones of the wrist. The four corners of the bones are attached with a spider plate. The scaphoid is resected and used as an autologous bone graft.

Does arthrodesis mean fusion?

Arthrodesis refers to the fusion of two or more bones in a joint. In this process, the diseased cartilage is removed, the bone ends are cut off, and the two bone ends are fused into one solid bone with metal internal fixation.

Can the scaphoid bone be removed?

Surgery can also be done in stages. Removal of the damaged scaphoid and a four corner-fusion allow for some wrist motion to be saved. Alternately, the affected row of carpal (wrist) bones can be removed completely. Further treatment failure may lead to total fusion of the wrist joint.

Can you bend your wrist after fusion?

The joints between the ulna and the radius are what allow you to turn the palm of your hand up and down. By not fusing the ulna, you should still be able to rotate your hand. However, you will not be able to bend your wrist after the operation.

Can you drive with a fused wrist?

When can I drive? 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.

Is arthrodesis same as laminectomy?

In some cases, spinal fusion (arthrodesis) may be done at the same time to help stabilize sections of the spine treated with decompressive laminectomy. Spinal fusion is major surgery, usually lasting several hours.

How common is SLAC wrist?

SLAC wrist is the most common type of wrist arthritis and accounts for approximately 55 % of all wrist arthritis [14]. SLAC is an osteoarthropathy of the carpus secondary to altered stress around an unstable scaphoid.