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Related Experiment Videos

Upper extremity function after wrist arthrodesis

A C Weiss1, G Wiedeman, D Quenzer

  • 1Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, USA.

The Journal of Hand Surgery
|September 1, 1995
PubMed
Summary

Patients undergoing wrist arthrodesis can perform most daily activities with modifications. Functional limitations exist, particularly with perineal care and tasks in tight spaces, but overall function is achievable.

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Area of Science:

  • Orthopedic Surgery
  • Rehabilitation Medicine
  • Hand Surgery

Background:

  • Limited data exists on functional outcomes after wrist arthrodesis.
  • Understanding daily living limitations is crucial for patient management.

Purpose of the Study:

  • To comprehensively evaluate the functional capabilities of patients post-wrist arthrodesis.
  • To identify specific daily tasks that pose challenges after wrist fusion.

Main Methods:

  • Functional assessment of 23 patients after wrist arthrodesis for post-traumatic conditions.
  • Utilized clinical questionnaires, the Jebsen Hand Function Test, and Buck-Gramcko/Lohmann rating.
  • Average follow-up duration was 54 months.

Main Results:

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  • 15 of 23 patients returned to their original jobs.
  • Most tasks were accomplished with modifications.
  • Difficulties noted in perineal care and manipulating objects in tight spaces.
  • Jebsen Hand Function Test showed 64% task completion with fused wrist vs. 78% with normal wrist.
  • Average Buck-Gramcko/Lohmann score was 8.3/10.

Conclusions:

  • Wrist arthrodesis allows for the accomplishment of most activities of daily living.
  • Patients require adaptation to perform tasks effectively after wrist fusion.
  • Functional outcomes are generally positive, with specific challenges identified.