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Wrist arthrodesis using a dynamic compression plate

J O'Bierne1, M I Boyer, T S Axelrod

  • 1Sunnybrook Health Science Centre, Toronto, Canada.

The Journal of Bone and Joint Surgery. British Volume
|September 1, 1995
PubMed
Summary
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This study reports a modified AO technique for wrist arthrodesis using a dynamic compression plate, achieving high union rates and satisfactory outcomes. The method offers safe, reliable, and rigid immobilization for wrist fusion.

Area of Science:

  • Orthopedic Surgery
  • Hand and Wrist Surgery
  • Surgical Techniques

Background:

  • Wrist arthrodesis is a surgical procedure to fuse the wrist joint.
  • Traditional techniques may have limitations in achieving solid fusion and patient satisfaction.

Purpose of the Study:

  • To evaluate a modified AO technique for wrist arthrodesis using a dynamic compression plate.
  • To assess the radiological and clinical outcomes of this surgical modification.

Main Methods:

  • Performed 45 wrist arthrodeses in 43 patients using a modified AO technique with a dynamic compression plate.
  • Radiological follow-up in 41 wrists and clinical follow-up in 32 wrists.

Main Results:

  • All 41 radiologically evaluated wrists achieved union at a mean of 10 weeks.

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  • Subjective outcomes were satisfactory in 26 wrists, marginally satisfactory in two, and unsatisfactory in four.
  • The technique provided rigid immobilization and allowed for contouring to various fusion positions.

    • Conclusions:

    • The modified AO technique with a dynamic compression plate is a safe and reliable method for wrist arthrodesis.
    • This technique demonstrates a higher rate of union compared to other methods.
    • It offers effective immobilization and flexibility in achieving desired fusion positions.