Wrist Fusion (Subscribe)  

OBJECTIVE: To document the activity limitations experienced by patients who had undergone a 4-corner wrist fusion, and the compensatory mechanisms they use in daily life.
Activity limitations and compensatory mechanism use following limited wrist fusion. Bialocerkowski AE. Arthritis Rheum. 2008 Oct 15;59(10):1504-11.

Between June 1991 and May 1996 we carried out arthrodesis on 15 patients with flail or partially flail wrists using an AO/ASIF dynamic compression plate (DCP) without a bone graft. The wrist was approached through the second extensor compartment. The minimum follow-up was for 24 months with a mean of...

We report a case of bilateral symmetrical radio-scaphoid wrist arthritis in a clay shoveller. The bilateral nature of this case and the absence of any obvious trauma suggest that the only aetiology of the patient’s degenerative changes was progressive and bilateral ligamentous distension secondary to repeated micro trauma due to...

We evaluated radiographic destruction of the first carpometacarpal joint (CMC I) in 18 hands with wrist fusions and compared it with the unoperated contralateral hands
No preoperative difference was found between the hands to be fused and the control hands, but the difference was significant (p = 0.009) after the...

Background Scaphoid excision and four-corner fusion is commonly performed to reconstruct advanced scapholunate collapse and scaphoid nonunion with collapse. Metallic plates were introduced for achieving fixation of the four carpal bones. Although the developer reported high rates of fusion, several other early reports of circular plate fixation suggest higher complication rates...

Complications of four-corner arthrodesis using circular plate fixation were recorded, revealing a high number of nonunions and hardware failures. All nonunions were salvaged with allograft or autogenous grafting with plate revision; however, the patients did have considerable limitations.
Management of non-united four-corner fusions. Skie MC, Gove N, Ciocanel DE, Smith H. Hand (N...

The purpose of this study was to compare the clinical outcome, union rate, and complications of a consecutive series of Scaphoid excision and limited wrist arthrodesis performed by a single surgeon using distal radius bone graft and K-wires or circular plate fixation. A sequential series of ten patients(11 wrists) who...

Midcarpal arthrodesis reliably reduced pain and preserved valuable wrist mobility thus improving daily activity and quality of life also in bilateral carpal collapse. In the rare cases when midcarpal arthrodesis failed, total wrist arthrodesis markedly improved the complaints in most patients, but in contrast to other studies complete pain was...

A painful wrist causes disability and decreased function of the upper extremity. The articulation afforded the hand by the wrist is important for mobility, strength, and dexterity. The pain produced by arthropathy of the wrist causes the patient to use a wrist splint to decrease pain. However, loss of mobility...

Arthrodesis of the wrist is a standard operation which is indicated for severe rheumatoid arthritis in which destruction is too advanced for more conservative procedures, or after failure of previous surgery. We have developed an L-shaped plate designed for this purpose. It provides rigid internal fixation with the wrist in...

Indications
Provides painless & stable wrist once fusion has taken place
indicated for marked flexion deformity of wrist & fingers, carpal dislocation or painful wrist associated with multiple ruptures of extensor tendons
If both wrists are diseased arthrodesis of one wrist & arthroplasty of other
If not arthroplasty should fix one wrist in flexion &...

We performed 45 wrist arthrodeses in 43 patients by a modification of the AO technique using the dynamic compression plate. Radiological follow-up was obtained in 41 wrists; all had united at a mean of ten weeks. Clinical follow-up was obtained in 32 wrists. Subjectively, the surgical outcome was satisfactory in...

Indications:
- painful or unstable wrist joint w/ advanced destruction due to OA, RA, post traumatic arthritis, SLAC wrist, spastic flexion contracture, degenerative scaphoid non-union, unsuccessful wrist arthroplasty, and Keinbock's dz;
- this procedure is more beneficial for young, active pts or middle...

We treated 18 patients with advanced Kienbock's disease surgically. Six had total wrist fusions and 12 had limited carpal fusions. The average age was 39.6 yrs and the average follow up was 61.8 months and 66.8 months respectively. The visual analogue pain scores, the patient satisfaction scores and the SF...