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Related Experiment Videos

[Wrist joint arthrodesis. Technique and outcome].

A K Martini1

  • 1Sektion Hand- und Mikrochirurgie, Orthopädische Universitätsklinik Heidelberg-Schlierbach.

Der Orthopade
|November 7, 1999
PubMed
Summary

Wrist joint arthrodesis effectively treats pain and dysfunction from degenerative joint disease and instability. This reliable procedure offers good functional outcomes and pain relief, making it a safe, long-term solution.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Joint Reconstruction

Background:

  • Wrist joint arthrodesis is indicated for degenerative joint disease, instability, and limited/painful motion.
  • Further indications include failed reconstructions, partial fusions, or total joint replacements.
  • Surgical technique selection depends on bone quality and joint degeneration severity.

Purpose of the Study:

  • To evaluate the efficacy and safety of wrist joint arthrodesis.
  • To compare outcomes between intramedullary rod and plate fixation methods.
  • To assess functional results, pain reduction, and complication rates.

Main Methods:

  • Retrospective review of 28 wrist arthrodesis cases using intramedullary rods.
  • Retrospective review of 61 wrist arthrodesis cases using plates.
  • Analysis of complication rates, pain levels, strength, and hand function.

Main Results:

  • Both intramedullary rods and plates demonstrated low complication rates.
  • Patients experienced significant pain reduction, increased strength, and improved hand function.
  • Good functional results were achieved with both fixation methods.

Conclusions:

  • Wrist joint arthrodesis is a reliable and safe procedure for managing wrist joint pathology.
  • The procedure leads to acceptable loss of motion in exchange for substantial pain relief and functional improvement.
  • Stable osteosynthesis, particularly with plates, allows for early rehabilitation and good long-term outcomes.

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