Intercarpal fusions: indications, treatment options and techniques

Area of Science:

• Orthopedic surgery
• Hand and wrist surgery

Background:

• Partial wrist fusion addresses specific carpal disorders including arthritis, Kienböck's disease, midcarpal instability, and scaphoid nonunion.
• Various surgical techniques exist, utilizing K-wires, screws, staples, or plates for bone fixation after removing arthritic joint surfaces.

Purpose of the Study:

• To review common intercarpal arthrodesis combinations.
• To clarify indications, surgical techniques, and outcomes for different wrist fusions.

Main Methods:

• Literature review of intercarpal arthrodesis techniques.
• Discussion of surgical approaches and fixation methods.
• Overview of clinical results and current concepts.

Main Results:

• Partial wrist fusion aims to maximize wrist motion and strength.
• The procedure seeks to minimize or eliminate pain associated with carpal disorders.
• Different fusion techniques offer varied outcomes depending on the specific carpal condition.

Conclusions:

• Intercarpal fusions are valuable for specific carpal pathologies.
• Understanding indications and techniques is crucial for successful outcomes.
• This review provides a comprehensive overview for clinicians managing these conditions.