A Prospective Outcomes Study of Four-Corner Wrist Arthrodesis Using a Circular Limited Wrist Fusion Plate for Stage II Scapholunate Advanced Collapse Wrist Deformity

2007 ◽  
Vol 2007 ◽  
pp. 121-122
Author(s):  
J. Yao
Keyword(s):  
Stage Ii ◽  
Wrist Arthrodesis ◽  
Wrist Fusion ◽  
Outcomes Study ◽  
Limited Wrist Fusion

scholarly journals Joint Preservation of the Wrist Using Articulated Distraction Arthroplasty: A Case Report of a Novel Technique

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Matt D. A. Fletcher
Keyword(s):  
Functional Outcome ◽  
Therapeutic Option ◽  
Wrist Arthrodesis ◽  
Distraction Arthroplasty ◽  
Novel Technique ◽  
Subjective Pain ◽  
Wrist Fusion ◽  
Functional Outcome Measures ◽  
Orthopaedic Community ◽  
Limited Wrist Fusion

Distraction arthroplasty of the ankle, elbow, and hip has become widely accepted and used within the orthopaedic community with excellent initial results which appear sustained. To date it has not been applied to the wrist in the same manner. A novel technique, drawn upon past success of articulated ankle distraction and static wrist distraction, was devised and evaluated by application of articulated wrist distraction performed over a 12-week period in a patient with poor functional outcome following limited wrist fusion. Posttreatment results showed improvement in range of motion (100-degree arc), subjective pain, and functional outcome measures (DASH 21.7, Mayo Wrist Score 80) comparable or better than either limited wrist fusion or proximal row carpectomy. Articulated wrist distraction initially appears to be a promising therapeutic option for the management of the stiff and painful wrist to maintain maximal function for which formal wrist arthrodesis may be the only alternative.

Modified Instruments for Wrist Fusion

1986 ◽  
Vol 11 (2) ◽  
pp. 245-249
Author(s):  
J. K. STANLEY ◽  
S. R. GUPTA ◽  
M. G. HULLIN
Keyword(s):  
Surgical Procedures ◽  
Operative Time ◽  
Intramedullary Fixation ◽  
Early Mobilisation ◽  
Wrist Arthrodesis ◽  
Wrist Fusion ◽  
New Instruments

A technique and new instruments for intramedullary fixation of the wrist arthrodesis is described, based on the technique of Clayton, popularised by Nalebuff and Millender. This allows early mobilisation, secure fixation and simplicity of the technique. It also allows other surgical procedures to be performed under the same anaesthetic and tourniquet due to the reduction in operative time.

scholarly journals Assessment of Wrist Function After Simulated Total Wrist Arthrodesis

Hand ◽  
2016 ◽  
Vol 11 (4) ◽  
pp. 464-468 ◽  
Author(s):  
Richard M. Hinds ◽  
Eitan Melamed ◽  
April O’Connell ◽  
Francoise Cherry ◽  
Monica Seu ◽  
...  
Keyword(s):  
Grip Strength ◽  
Functional Limitation ◽  
Test Duration ◽  
Fusion Model ◽  
Optimal Position ◽  
Wrist Arthrodesis ◽  
Ulnar Deviation ◽  
Radial Deviation ◽  
Wrist Fusion ◽  
Wrist Function

Background: There is poor consensus in the literature regarding associated functional limitation and the preferred wrist position for total wrist arthrodesis. The purpose of the current investigation was twofold: (1) to assess the functional limitations of wrist arthrodesis and (2) to determine the optimal position for wrist arthrodesis using a simulated wrist fusion model. Methods: Twenty healthy volunteers underwent simulated wrist arthrodesis in 6 different positions using custom-molded wrist splints: 15° extension with 0° radio-ulnar deviation, 15° extension with 10° ulnar deviation, 15° extension with 10° radial deviation, 0° extension with 0° radio-ulnar deviation, 0° extension with 10° ulnar deviation, and 0° extension with 10° radial deviation. Each volunteer was independently assessed for wrist function using the Jebsen-Taylor hand function test, grip strength, and satisfaction in the simulated wrist fusion positions. Comparisons between all simulated fusion wrists and the baseline unsplinted wrist as well as among the 6 simulated fusion positions were performed. Results: Turning over a card (5.1 vs 4.3 seconds), picking up small objects (7.1 vs 5.8 seconds), and simulated feeding (8.3 vs 7.1 seconds) as well as total Jebsen-Taylor test duration (41.8 vs 37.9 seconds) was significantly longer in simulated fusion wrists. Both grip strength (55.9 vs 80.7 kg) and satisfaction scores (6.4 vs 9.6) were lower in simulated fusion wrists. Wrists in 0° extension also demonstrated significantly shorter durations in stacking checkers than wrists in 15° extension. Conclusion: Our findings suggest that wrist arthrodesis may only compromise select wrist functions. Among the tested wrist fusion positions, wrists fused in neutral may demonstrate better function than wrist fused in slight extension. However, grip strength and satisfaction seem to be unaffected by wrist fusion position.

scholarly journals Wrist Arthrodesis in Rheumatoid Arthritis Using an LCP Metaphyseal Locking Plate versus an AO Wrist Fusion Plate

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Toshitake Taii ◽  
Takumi Matsumoto ◽  
Sakae Tanaka ◽  
Ichiro Nakamura ◽  
Katsumi Ito ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Wound Dehiscence ◽  
Extensor Tendon ◽  
Plate Versus ◽  
Original Position ◽  
Wrist Arthrodesis ◽  
Plate Group ◽  
Wrist Fusion ◽  
The Mean

Objectives. Although wrist arthrodesis using a plate is an established treatment with a well-documented successful union rate for severely destroyed wrists, plate-related complications are a matter of great concern. Methods. We retrospectively compared wrist arthrodesis using an AO wrist fusion plate in nine and a locking compression plate (LCP) metaphyseal plate in seven cases of rheumatoid arthritis. Results. The mean follow-up was 40.6 months in the AO wrist fusion plate group and 57.2 months in the LCP metaphyseal plate group. Bone union at the arthrodesis site was achieved in all cases in both groups. Comparison of the original position of the fusion on the immediate postoperative radiographs and the position on the most recent follow-up radiographs demonstrated good stability in both groups. Plate-related complications occurred in four cases in the AO wrist fusion plate group and no cases in the LCP metaphyseal plate group. Complications included pain over the plate, wound dehiscence and infection, extensor tendon adhesion, and fracture in one case each. Conclusion. Wrist arthrodesis using an LCP metaphyseal plate was favorable for rheumatoid arthritis patients with comparable stability to that of and a lower risk of plate-related complications than an AO wrist fusion plate.

Pin Arthrodesis of the Wrist – A Modified Technique

2005 ◽  
Vol 30 (5) ◽  
pp. 461-463 ◽  
Author(s):  
K. KUMAR ◽  
Q. G. N. COX
Keyword(s):  
Rheumatoid Arthritis ◽  
Operating Time ◽  
Modified Technique ◽  
Wrist Arthrodesis ◽  
Distal Migration ◽  
Wrist Fusion

An intramedullary pin is commonly used for wrist arthrodesis in patients with rheumatoid arthritis. However, pin migration is a recognized complication of this technique. We report the results of wrist fusion in 15 patients using a modified technique with a transverse blocking screw inserted into the metacarpal distal to the intramedullary pin to prevent distal migration and backing out of the intramedullary pin. The procedure is simple to perform, does not add significantly to the operating time and has not been associated with any complications.

Risk of Total Wrist Arthrodesis or Reoperation Following 4-Corner Arthrodesis or Proximal Row Carpectomy for Stage-II SLAC/SNAC Arthritis

2020 ◽  
Vol 102 (12) ◽  
pp. 1050-1058 ◽  
Author(s):  
Brittany N. Garcia ◽  
Chao-Chin Lu ◽  
Andrew R. Stephens ◽  
Nikolas H. Kazmers ◽  
Wei Chen ◽  
...  
Keyword(s):  
Stage Ii ◽  
Proximal Row Carpectomy ◽  
Wrist Arthrodesis

scholarly journals Scaphotrapeziotrapezoid Arthrodesis Using Limited Wrist Fusion Plates in Kienböck’s Disease

Cureus ◽  
2019 ◽  
Author(s):  
Baver Acar ◽  
Adil Turan ◽  
Ozkan Kose ◽  
Serra Ozturk ◽  
Muzaffer Sindel
Keyword(s):  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Wrist Fusion ◽  
Limited Wrist Fusion ◽  
Kienbock’S Disease
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