Hemiartroplastia do escafoide com APSI – resultados funcionais em longo prazo

摘要

Objective This study is aimed at evaluating the long‐term results of proximal scaphoid hemiarthroplasty for post‐traumatic avascular necrosis at this institution. Methods Twelve patients who underwent this procedure were identified, and the mean follow‐up time was 6.5 years (range: 5 to 8 years). All patients were male, with a mean age of 39 years (range: 28 to 55 years). In eight patients, the non‐dominant limb was affected. The procedure was carried out through a dorsal approach and all patients underwent the same rehabilitation protocol. Cases were evaluated regarding complications, pain, range of motion, functional status (Mayo Wrist Score), and disability (QuickDASH Score). Results No immediate post‐operative complications, such as infection or dislocation of the implant, were observed. All patients presented with peri‐implant osteolysis at follow‐up, on a radiograph study. None of the patients was forced to abandon their previous professional activity, although about 50% required some type of adaptation at their workplace. The mean functional capacity was, according to the Mayo Wrist Score, of 67.5 points (range: 50 to 80), corresponding to a satisfactory degree of function. The QuickDASH disability score presented a mean of 25 (range: 3 to 47.7). Conclusion The results of this series are in line with previously published studies about this technique. Hemiarthroplasty with a pyrocarbon implant is a safe technique for the treatment of post‐fracture avascular necrosis of the scaphoid proximal pole. This technique allowed for satisfactory functional results at a mean follow‐up of 6.5 years.