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Scholars Journal of Medical Case Reports | Volume-7 | Issue-12
Arthrodesis by Dorsal Circular Plate in Slac Wrist Grade 3: A Case and Literature Review
Kacimi Alaoui EM ; Oufaska K ; Senhaji S ; Abid H ; Elidrissi M ; Elibrahimi A ; Elmrini A
Published: Dec. 16, 2019 | 136 145
DOI: 10.36347/SJMCR.2019.v07i12.008
Pages: 750-753
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Abstract
Osteoarthritis of the wrist is most often secondary to a traumatic sequel or a metabolic disease and usually concerns the periscaphoïd region. We report the case of a 58-year-old woman with SLAC wrist grade 3 (scapho-lunate advanced collapse) who underwent a dorsal circular plate medio-carpal arthrodesis associated with a scaphoidectomy. The following up was 28 months. Subjective clinical criteria such as: pain, satisfaction and objectives: articulation’s amplitudes were analyzed. The evaluation was completed by the questionnaire (QUICK DASH). Radiologically, consolidation and fusion of the triquetro-hamatal arthrodesis was observed. The use of a complementary transplant was not necessary. Arthrodesis with the dorsal circular plate seems to allow a faster clinical and functional recovery, in addition it confers a primary stability and a reliability allowing an early mobilization while maintaining a good consolidation rate with a learning curve that remains fast.