Partial arthrodesis for the rheumatoid wrist
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Daniel B Herren1, Hajime Ishikawa
1Handsurgery Department, Schulthess Klinik, Lengghalde 2, 8008, Zurich, Switzerland. hed@kws.ch
Abstract:
The correct treatment of wrist deformation in the patient who has rheumatoid arthritis has a major impact on the preservation of function of the hand. Surgical decisions should be individualized, based on the patient's needs and the future development of deformation. Partial wrist arthrodesis in rheumatoid wrists is an excellent tool to preserve stability and functional mobility in the long term. In cases of severe destruction complete wrist fusion should be considered alternatively.