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Related Experiment Videos

Wrist arthrodesis: modified Gill's technique.

S Luboshitz1, G Burstein, J Engel

  • 1Hand Surgery Unit, Sheba Medical Center, Ramat-Gan, Israel. slubo@zahav.net.il

Journal of Hand Surgery (Edinburgh, Scotland)
|December 12, 2002
PubMed
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This study shows a modified Gill's technique for wrist arthrodesis is reliable and simple. It achieves good bone fusion without needing bone grafts from other body parts.

Area of Science:

  • Orthopedic Surgery
  • Musculoskeletal Research
  • Bone Grafting Techniques

Background:

  • Wrist arthrodesis is a surgical procedure to fuse the wrist joint.
  • Traditional techniques may involve distant bone graft harvesting, increasing morbidity.
  • A reliable, simplified arthrodesis technique is needed.

Purpose of the Study:

  • To evaluate the efficacy of a modified Gill's technique for wrist arthrodesis.
  • To assess the union rate and complication profile of this modified technique.
  • To determine if distant bone graft harvesting is necessary.

Main Methods:

  • Twenty-five wrist arthrodesis procedures were performed on 24 patients.
  • A modified Gill's technique utilizing a corticocancellous strut graft from the distal radius was applied.

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  • Patients were monitored until solid bony fusion was confirmed.

    • Main Results:

    • Solid bony union was achieved in 21 out of 25 wrists.
    • The remaining four wrists achieved union after a secondary procedure.
    • The modified technique demonstrated a low complication rate.

    Conclusions:

    • The modified Gill's technique is a reliable and simple method for wrist arthrodesis.
    • This approach effectively achieves bony fusion without requiring distant bone grafts.
    • The procedure offers a favorable safety profile for patients undergoing wrist fusion.