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[Partial intercarpal arthrodesis].

K D Moser1, G E Wozasek, H Haller

  • 1Unfallkrankenhaus Linz.

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|July 1, 1988
PubMed
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Intercarpal arthrodesis for wrist conditions like Kienböck's disease yielded limited success, with many patients experiencing residual pain and restricted motion. The review suggests restricted indications for this surgical procedure.

Area of Science:

  • Orthopedic surgery
  • Hand and wrist surgery

Context:

  • Kienböck's disease, scaphoid non-union, and wrist instability are debilitating conditions.
  • Intercarpal arthrodesis is a surgical option for severe wrist pathologies.

Purpose:

  • To evaluate the long-term outcomes of intercarpal arthrodesis in patients with Kienböck's disease, scaphoid non-union, and wrist instability.

Summary:

  • Twenty-one patients underwent intercarpal arthrodesis using various techniques.
  • Postoperative review of 18 patients (1-14 years) showed 30% pain-free, 40% with residual pain, and 20% with moderate to severe pain.
  • Wrist range of motion was limited, primarily in extension, and 40% developed arthrotic changes; two cases progressed to complete wrist arthrodesis.

Impact:

Related Experiment Videos

  • The study indicates limited success and potential complications associated with intercarpal arthrodesis.
  • Findings suggest a need to carefully consider indications for intercarpal arthrodesis due to poor outcomes.