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Long-term functional outcomes after total wrist arthrodesis.

M B Smith1, P H C Stirling2, J E McEachan2

  • 1University of Edinburgh, School of Medicine, Chancellor's Building, Edinburgh, EH16 4TJ, UK.

Hand Surgery & Rehabilitation
|July 19, 2022
PubMed
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Long-term wrist arthrodesis shows high patient satisfaction and quality of life, despite significant functional disability. Complication rates were notable but did not impact functional outcomes in this study.

Area of Science:

  • Orthopedic Surgery
  • Reconstructive Surgery
  • Hand and Wrist Surgery

Background:

  • Literature on functional outcomes after total wrist arthrodesis is limited by short follow-up periods.
  • Validated patient-reported outcome measures (PROMs) are not consistently utilized in existing studies.

Purpose of the Study:

  • To describe long-term functional outcomes following total wrist arthrodesis.
  • To assess the incidence of complications and patient satisfaction after wrist fusion.

Main Methods:

  • Retrospective single-center study with a minimum 10-year follow-up.
  • Patients completed questionnaires including Patient-Rated Wrist Evaluation (PRWE), Quick Disabilities of the Arm, Shoulder and Hand (Quick-DASH), and EQ-5D-5L.
  • Complication data and patient satisfaction were also collected.
Keywords:
Arthrodèse du poignetFusion du poignetLong-term functional outcomesMesures des résultats rapportés par les patientsPatient reported outcome measuresRésultats fonctionnels à long termeWrist arthrodesisWrist fusion

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Main Results:

  • At a median 15-year follow-up (n=34), mean PRWE was 44.8 and mean Quick-DASH was 41.9.
  • Twenty-eight patients reported satisfaction; nine experienced complications (e.g., hardware removal, revision for non-union).
  • Complications did not significantly affect PRWE or Quick-DASH scores. Median EQ-5D-5L was 0.7.

Conclusions:

  • Total wrist arthrodesis can lead to high long-term patient satisfaction and quality of life.
  • Significant functional disability persists despite positive satisfaction.
  • Complication rates are considerable, but do not appear to negatively impact functional outcomes.