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Complications of intercarpal arthrodesis
J A McAuliffe1, P C Dell, R Jaffe
1Department of Orthopaedics and Rehabilitation, University of Miami School of Medicine, FL 33101.
The Journal of Hand Surgery
|November 1, 1993
Summary
Intercarpal arthrodesis complications, like nonunion, significantly decrease good outcomes. However, scaphoid trapezoid trapezium arthrodesis shows promise for static carpal instability, improving good results.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Musculoskeletal Research
Background:
- Intercarpal arthrodesis is a surgical procedure to fuse bones in the wrist.
- Complications and revision rates following this procedure require further investigation.
- Patient outcomes vary, necessitating analysis of factors influencing success.
Purpose of the Study:
- To evaluate the outcomes and complication rates of intercarpal arthrodesis.
- To identify factors associated with poor surgical results.
- To assess the efficacy of specific arthrodesis techniques for carpal instability.
Main Methods:
- Retrospective review of 50 patients undergoing intercarpal arthrodesis.
- Analysis of follow-up data at an average of 34 months.
- Categorization of results into good, fair, and poor, with detailed complication tracking.
Main Results:
- 18 good, 16 fair, and 13 poor results were reported.
- 36 patients (72%) experienced complications, with nonunion being the most common (16 patients).
- Nonunion, secondary surgery, and any complication significantly reduced good outcomes.
Conclusions:
- Complications significantly impact the success of intercarpal arthrodesis.
- Scaphoid trapezoid trapezium arthrodesis demonstrated a higher proportion of good results in static carpal instability.
- Further research into optimizing surgical techniques and managing complications is warranted.