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[Current status of wrist arthrodesis]
H Steckel1, O Stankovic, H M Klinger
1Orthopädische Klinik, Klinikum der Georg-August-Universität Göttingen. hanno.steckel@gmail.com
Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|April 21, 2006
Summary
Wrist arthrodesis surgery provides significant improvements in function and quality of life for patients with post-traumatic and rheumatoid arthritis. This study confirms its continued value in treating debilitating wrist conditions.
Area of Science:
- Orthopaedic Surgery
- Rheumatology
Context:
- Wrist arthrodesis is a surgical procedure to fuse the wrist joint.
- It is often performed for conditions like post-traumatic arthritis and rheumatoid arthritis.
- Assessing long-term outcomes is crucial for understanding its value.
Purpose:
- To evaluate the outcomes of 47 wrist arthrodeses performed between 1980 and 1998.
- To determine the long-term efficacy and value of wrist arthrodesis.
- To assess patient quality of life, function, pain, and strength.
Summary:
- A retrospective analysis of 47 wrist arthrodeses (plate or Rush-Pin osteosynthesis) for post-traumatic and rheumatoid arthritis was conducted.
- 93.6% of patients were evaluated, showing successful wrist stabilization in all cases.
- Good to excellent results were achieved in 86.4% for post-traumatic arthritis and 90.9% for rheumatoid arthritis, with significant pain reduction and functional improvement.
Impact:
- Wrist arthrodesis demonstrates a significant increase in quality of life, particularly for rheumatoid arthritis patients.
- The procedure remains a valuable surgical option for managing severe wrist arthritis.
- Findings support the continued use of wrist arthrodesis for improving patient outcomes.
