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Updated: Jun 18, 2026
09:14
Surface Electromyographic Biofeedback as a Rehabilitation Tool for Patients with Global Brachial Plexus Injury Receiving Bionic Reconstruction
Published on: September 28, 2019
Wrist fusion in posttraumatic brachial plexus palsy
Julia K Terzis1, Antonia Barmpitsioti
1Norfolk, Va. From the Department of Surgery, Division of Plastic and Reconstructive Surgery, Eastern Virginia Medical School.
Plastic and Reconstructive Surgery
|December 3, 2009
Summary
Wrist fusion surgery stabilizes the wrist after brachial plexus injury, improving hand function and patient satisfaction. This procedure is recommended for better overall upper limb function and appearance.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Brachial plexus injuries with root avulsions cause significant wrist instability and functional deficits.
- Restoring hand placement control and upper limb function is crucial for patient quality of life.
Purpose of the Study:
- To analyze the outcomes of wrist arthrodesis in patients with brachial plexus palsy.
- To evaluate the impact of factors like age and additional reanimation procedures on wrist fusion success.
- To assess patient satisfaction with the procedure.
Main Methods:
- A cohort of 97 patients with posttraumatic plexopathies underwent secondary hand reanimation procedures.
- Sixty-one patients received wrist arthrodesis using a rigid plate and iliac bone graft.
- Muscle and tendon transfers were performed in conjunction with wrist fusion to improve finger function.
Main Results:
- All wrist fusion procedures were successful.
- Patients undergoing wrist fusion reported high satisfaction with wrist stability (97.14%) and improved upper limb function (88.57%).
- The Disabilities of the Arm, Shoulder and Hand (DASH) score indicated moderate ability in daily activities post-surgery.
Conclusions:
- Wrist fusion is a recommended complementary procedure for brachial plexus palsy.
- It provides a stable and painless carpus, enhancing overall upper limb function and aesthetics.
- The procedure contributes to improved functional outcomes and patient satisfaction.
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