Skip Navigation LinksHome > December 2012 - Volume 16 - Issue 4 > Four-corner Arthrodesis With a Locking, Dorsal Circular Poly...
Techniques in Hand & Upper Extremity Surgery:
doi: 10.1097/BTH.0b013e31826d221a
Techniques

Four-corner Arthrodesis With a Locking, Dorsal Circular Polyether-Ether-Ketone (PEEK-Optima) Plate

Rhee, Peter C. DO, MS; Kakar, Sanjeev MD, MRCS; Shin, Alexander Y. MD

Collapse Box

Abstract

Scaphoidectomy and 4-corner arthrodesis can be a successful salvage procedure for scaphoid nonunion advanced collapse and scapholunate advanced collapse. Traditional methods of fixation include Kirschner wires, staples, and/or headless compression screws. Nonlocking, dorsal circular plates, manufactured from stainless steel, have been advocated to allow early wrist range of motion and improved union rates. However, the reported union rates have been variable and inconsistent. This wide results have been attributed to the difficulty in assessing union with plain film radiograph due to the radio-opaque plate. Recently, a locking, dorsal circular plate, comprised of a radiolucent polyether-ether-ketone (PEEK-Optima), has been introduced with the additional benefit of providing a fixed-angle construct and allowing a more accurate assessment of bone union with plain film imaging studies.

© 2012 Lippincott Williams & Wilkins, Inc.

Login

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.