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Wrist arthrodesis. Technique and functional evaluation

M S Moneim1, C R Pribyl, J R Garst

  • 1Department of Orthopaedics and Rehabilitation, University of New Mexico, School of Medicine, Albuquerque 87131-5296, USA.

Clinical Orthopaedics and Related Research
|August 1, 1997
PubMed
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Wrist arthrodesis using the AO technique achieves a 100% union rate and high patient satisfaction, offering pain relief by sacrificing motion for stability. Patients adapt well but report difficulties with specific activities, and plate removal post-healing is advised.

Area of Science:

  • Orthopedic Surgery
  • Musculoskeletal System
  • Surgical Techniques

Background:

  • Wrist arthrodesis is a surgical procedure to fuse the wrist joint.
  • It aims to relieve pain and provide stability at the expense of wrist motion.
  • The AO technique with plate and screw fixation is a common method.

Purpose of the Study:

  • To evaluate the outcomes of wrist arthrodesis using the AO technique.
  • To assess union rates, patient satisfaction, and complications.
  • To provide recommendations for post-operative management.

Main Methods:

  • Review of 26 wrist arthrodeses in 24 patients.
  • Utilized the AO technique with plate and screw fixation.
  • Iliac crest bone graft was used for all procedures.

Related Experiment Videos

Main Results:

  • Achieved a 100% union rate for wrist fusions.
  • Reported high levels of patient satisfaction.
  • Common complication: fracture at plate ends; functional limitations noted in specific activities.

Conclusions:

  • Wrist arthrodesis with the AO technique is a reliable procedure for pain relief and stability.
  • Plate removal after solid fusion is strongly recommended to prevent complications.
  • Patient adaptation is generally good, though some functional deficits persist.