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Partial arthrodeses of the wrist
A Marcuzzi1, G Cristiani, L Castagnini
1Cattedra di Chirurgia della mano, Università degli Studi, Modena.
La Chirurgia Degli Organi Di Movimento
|April 1, 1995
Summary
Partial wrist arthrodesis is effective for treating conditions affecting specific carpal bones, showing a 76.6% success rate. This surgical approach offers a viable alternative to complete wrist fusion for select wrist pathologies.
Area of Science:
- Orthopedic Surgery
- Hand and Wrist Surgery
- Reconstructive Surgery
Background:
- Wrist pain and dysfunction can result from various conditions, including Kienboeck's disease, scaphoid non-union, and rheumatoid arthritis.
- Traditional treatments may involve conservative management or more extensive surgical procedures like total wrist arthrodesis.
- Partial arthrodesis offers a targeted approach to address specific carpal bone issues.
Observation:
- The study reviewed 16 cases of partial wrist arthrodesis.
- Indications included Kienboeck's disease, scaphoid pseudarthrosis, rotatory scaphoid subluxation, and rheumatoid arthritis.
- The surgical technique focuses on fusing only the affected carpal bones.
Findings:
- A high success rate of 76.6% was observed in the treated cases.
- Partial arthrodesis yielded good functional outcomes for patients.
- The procedure effectively managed pathologies involving isolated carpal bones.
Implications:
- Partial wrist arthrodesis is a recommended treatment for specific carpal bone pathologies.
- This technique provides a less extensive surgical option compared to total wrist arthrodesis.
- It represents a valuable alternative for preserving wrist motion while addressing localized disease.