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Related Experiment Videos

Wrist arthrodesis.

Radford J Hayden1, Peter J L Jebson

  • 1Division of Elbow, Hand, and Microsurgery, Department of Orthopaedic Surgery, University of Michigan Health Systems, 2098 South Main Street, Ann Arbor, MI 48103, USA.

Hand Clinics
|November 9, 2005
PubMed
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Wrist arthrodesis offers high patient satisfaction and pain relief for advanced arthritis, enabling return to work for most. Some functional adaptations are necessary post-surgery.

Area of Science:

  • Orthopedic Surgery
  • Hand and Wrist Surgery
  • Reconstructive Surgery

Background:

  • Wrist arthrodesis is a common procedure for advanced symptomatic arthritis.
  • Indications include degenerative, post-traumatic, inflammatory, or postinfectious conditions.
  • It can also address functional deficits in contracted or flail wrists due to neurological conditions.

Purpose of the Study:

  • To review the outcomes, techniques, and complications of wrist arthrodesis.
  • To provide guidance on patient selection and preoperative counseling.
  • To discuss current controversies and best practices in wrist fusion.

Main Methods:

  • Review of surgical techniques including intramedullary rod, Steinman pin, and dorsal plate fixation.
  • Discussion of ideal wrist positioning for functional outcomes.

Related Experiment Videos

  • Analysis of common and major complications, including donor site morbidity.

    • Main Results:

    • High fusion rates and patient satisfaction are generally reported.
    • Most patients can return to gainful employment, though some require modified roles.
    • Functional limitations may occur in specific activities, necessitating patient counseling.

    Conclusions:

    • Wrist arthrodesis is an effective procedure for pain relief and functional improvement in select patients.
    • Careful patient selection, surgical technique, and preoperative counseling are crucial for optimal outcomes.
    • While complications can occur, most are manageable, and successful fusion rates are high.