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Related Experiment Videos

Wrist arthrodesis using a dynamic compression plate

S D Sagerman1, A K Palmer

  • 1Department of Orthopedic Surgery, State University of New York Health Science Center, Syracuse, USA.

Journal of Hand Surgery (Edinburgh, Scotland)
|August 1, 1996
PubMed
Summary

Wrist arthrodesis with dynamic compression plating and bone grafting effectively relieved pain and improved patient satisfaction in most cases. Grip strength remained limited, but complications were minimal.

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Area of Science:

  • Orthopedic Surgery
  • Hand and Wrist Surgery

Background:

  • Wrist arthrodesis is a surgical procedure to fuse the wrist joint.
  • Dynamic compression plating and bone grafting are techniques used in wrist fusion.

Purpose of the Study:

  • To evaluate the effectiveness of wrist arthrodesis using dynamic compression plating and bone grafting.
  • To assess patient outcomes, including pain relief, satisfaction, grip strength, and complications.

Main Methods:

  • Retrospective review of 18 consecutive wrist arthrodesis procedures in 17 patients.
  • Standardized surgical technique with dynamic compression plating and bone grafting.
  • Mean follow-up of 48 months.

Main Results:

  • Significant pain relief and high patient satisfaction reported in 17 out of 18 patients.

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  • Limited grip strength compared to the unoperated wrist.
  • Low complication rate, including one case of reflex sympathetic dystrophy and minor donor site issues.

    • Conclusions:

    • Wrist arthrodesis with dynamic compression plating and bone grafting is an effective procedure for pain relief and patient satisfaction.
    • Functional outcomes like grip strength may remain limited post-surgery.
    • The technique demonstrates a favorable safety profile with minimal complications.