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Wrist joint arthrodesis. Technique and outcome
1Sektion Hand- und Mikrochirurgie, Orthopädische Universitätsklinik Heidelberg-Schlierbach, Germany.
Der Orthopade
|March 2, 2017
Summary
Wrist joint arthrodesis effectively treats degenerative joint disease and instability, offering pain relief and improved function. This reliable procedure achieves good functional outcomes by fusing the wrist in a position tailored to patient needs.
Area of Science:
- Orthopedic surgery
- Hand surgery
- Joint reconstruction
Background:
- Wrist joint arthrodesis is indicated for degenerative joint disease, instability, and limited/painful motion.
- Further indications include failed reconstruction, partial arthrodesis, or total joint replacement.
- Surgical technique selection depends on bone quality and joint degeneration severity.
Purpose of the Study:
- To evaluate the efficacy and safety of wrist joint arthrodesis.
- To compare outcomes of intramedullary rod versus plate fixation.
- To assess pain reduction, strength, and hand function post-procedure.
Main Methods:
- Retrospective review of 28 cases using intramedullary rods and 61 cases using plates for wrist arthrodesis.
- Surgical technique tailored to bone quality and degeneration.
- Functional outcomes and complication rates were analyzed.
Main Results:
- Both intramedullary rods and plates demonstrated low complication rates.
- Patients experienced significant pain reduction, increased strength, and improved hand function.
- Good functional results were achieved with both fixation methods.
Conclusions:
- Wrist joint arthrodesis is a reliable and safe long-term procedure.
- Loss of motion is an acceptable trade-off for substantial pain relief and functional improvement.
- The procedure provides significant benefits for patients with debilitating wrist conditions.
