Wrist Arthrodesis

2011 ◽  
pp. 121-127
Author(s):  
Robert Farnell
Keyword(s):  
Wrist Arthrodesis

Technique for Failed Total Wrist Arthroplasty Conversion to a Total Wrist Arthrodesis with Allograft Interposition

2020 ◽  
Author(s):  
Taylor D’Amore ◽  
Asif M. Ilyas
Keyword(s):  
Bone Stock ◽  
Subsequent Increase ◽  
Wrist Arthrodesis ◽  
Interposition Graft ◽  
Total Wrist Arthroplasty ◽  
Cortical Allograft ◽  
Wrist Arthroplasty

AbstractThe frequency of prosthetic total wrist arthroplasty continues to increase. With this increase comes the expected subsequent increase in need for revision or salvage procedures. The technique presented here involves the use of a cortical allograft interposition graft to restore bone stock and length for failed total wrist arthroplasty.

EARLY WRIST ARTHRODESIS FOR IRREPARABLE INTRA-ARTICULAR DISTAL RADIAL FRACTURES

Hand Surgery ◽  
2000 ◽  
Vol 05 (02) ◽  
pp. 113-118 ◽  
Author(s):  
Alan E. Freeland ◽  
Vipul Sud ◽  
D. Marshall Jemison
Keyword(s):  
Hospital Costs ◽  
Multiple Fractures ◽  
Distal Radial Fractures ◽  
Proximal Ulna ◽  
Wrist Arthrodesis ◽  
Local Bone ◽  
Graft Donor ◽  
Post Traumatic ◽  
Lost Time ◽  
Traumatic Arthritis

When articular restoration and congruity cannot be accomplished in distal radial fractures owing to severe articular bone loss or comminution, early wrist arthrodesis should be considered. This procedure rapidly restores wrist alignment and stability and controls pain. Arthrodesis is a highly reliable and definitive procedure that optimises the opportunity for early functional and occupational recovery while minimising the risks of developing stiff digits or chronic pain in injuries otherwise doomed from the start of treatment to result in severe wrist stiffness and post-traumatic arthritis. Simultaneous proximal row carpectomy or the use of ipsilateral local bone graft donor sites, such as the distal radius or proximal ulna, decrease both initial treatment and hospital costs and morbidity. Wrist arthrodesis is also effective when polytrauma or multiple fractures co-exist. Successful early treatment may expedite return to work and reduce lost time and wages resulting from the injury.

Modified Instruments for Wrist Fusion

1986 ◽  
Vol 11 (2) ◽  
pp. 245-249
Author(s):  
J. K. STANLEY ◽  
S. R. GUPTA ◽  
M. G. HULLIN
Keyword(s):  
Surgical Procedures ◽  
Operative Time ◽  
Intramedullary Fixation ◽  
Early Mobilisation ◽  
Wrist Arthrodesis ◽  
Wrist Fusion ◽  
New Instruments

A technique and new instruments for intramedullary fixation of the wrist arthrodesis is described, based on the technique of Clayton, popularised by Nalebuff and Millender. This allows early mobilisation, secure fixation and simplicity of the technique. It also allows other surgical procedures to be performed under the same anaesthetic and tourniquet due to the reduction in operative time.

scholarly journals Ulna Autograft for Wrist Arthrodesis: A Novel Approach in Failed Wrist Arthoplasty

2017 ◽  
Vol 11 (1) ◽  
pp. 768-776 ◽  
Author(s):  
Nastaran Sargazi ◽  
M. Philpott ◽  
A. Malik ◽  
M. Waseem
Keyword(s):  
Multidisciplinary Approach ◽  
Surgical Intervention ◽  
Salvage Surgery ◽  
Wrist Arthrodesis ◽  
Novel Approach ◽  
Total Wrist Arthroplasty ◽  
Stage Disease ◽  
Wrist Function ◽  
End Stage ◽  
Wrist Arthroplasty

Rheumatoid arthritis is a polyarthropathy affecting approximately 1% of the population worldwide. Wrist involvement is observed around 75% of patients, resulting in substantial disability and morbidity. A multidisciplinary approach to management of such patients is undertaken to prevent disease progression, many go on to develop debilitating disease requiring surgical intervention. Total wrist arthroplasty and arthrodesis are the main options available for those with end-stage disease, with arthroplasty preferred due to its ability to preserve a good degree of wrist function. Where complications occur with total wrist arthroplasty, salvage surgery with arthrodesis can be considered, however this requires satisfactory bone stock to enable stable fusion of the joint following arthroplasty. We report our experience of Ulna strut allografts in wrist arthrodesis in the management of failed total wrist arthroplasty.

Functional results of wrist arthrodesis versus arthroplasty with proximal fibula following giant cell tumour excision of the distal radius

2018 ◽  
Vol 44 (4) ◽  
pp. 394-401 ◽  
Author(s):  
Huayi Qu ◽  
Wei Guo ◽  
Dasen Li ◽  
Yi Yang ◽  
Ran Wei ◽  
...  
Keyword(s):  
Grip Strength ◽  
Giant Cell ◽  
Distal Radius ◽  
Giant Cell Tumour ◽  
Functional Results ◽  
Cell Tumour ◽  
Musculoskeletal Tumor Society ◽  
Wrist Arthrodesis ◽  
Proximal Fibula ◽  
Radiocarpal Joint

Twenty-one patients underwent excision of a Campanacci grade III giant cell tumour of the distal radius and had reconstruction using a proximal fibula autograft. We compared the functional results of wrist arthrodesis versus arthroplasty. All 21 patients healed in an average of 8 months, and all have remained disease free. The Musculoskeletal Tumor Society 93, the Disabilities of the Arm, Shoulder, and Hand scores and the grip strength of the operated wrist compared with the contralateral wrist were 93%, 7, and 71% for the arthrodesis group and 83%, 17, and 40% for the arthroplasty group. Arthrodesis of the reconstructed radiocarpal joint provided better grip strength and functional outcomes than arthroplasty. Level of evidence: III

Wrist Arthrodesis

1986 ◽  
pp. 181-191
Author(s):  
Alan E. Freeland ◽  
Michael E. Jabaley ◽  
James L. Hughes
Keyword(s):  
Wrist Arthrodesis

scholarly journals Universal 2 total wrist arthroplasty for the salvage of failed Biaxial total wrist arthroplasty

2019 ◽  
Vol 44 (6) ◽  
pp. 614-619 ◽  
Author(s):  
Hero J. A. Zijlker ◽  
Merel J. Berkhout ◽  
Marco J. P. F. Ritt ◽  
Niels van Leeuwen ◽  
Cees B. IJsselstein
Keyword(s):  
Level Of Evidence ◽  
Wrist Arthrodesis ◽  
Evaluation Scores ◽  
Total Wrist Arthroplasty ◽  
Hand Evaluation ◽  
Wrist Arthroplasty

Universal 2 implants may be an alternative to total wrist arthrodesis for the salvage of failed Biaxial total wrist prostheses. We assessed 40 Universal 2 revision implants retrospectively. Fourteen of these wrists were converted to total wrist arthrodeses, and two wrists received a third total wrist arthroplasty after a mean period of 5.5 years. Twenty-four of the Universal 2 implants that remained in situ after a mean follow-up of 9 years (range 4 to 13 years) were re-examined. Sixteen functioned satisfactorily. Patient-Rated Wrist and Hand Evaluation scores and Quick Disabilities of the Arm, Shoulder and Hand scores were 53 and 47, respectively. Twenty-nine patients would choose the Universal 2 again and would also recommend it to other patients. The survival of the revision implants was 60% at a mean follow-up of 9 years. Level of evidence: IV

scholarly journals Load transfer through the radiocarpal joint and the effects of partial wrist arthrodesis on carpal bone behaviour: a finite element study

2012 ◽  
Vol 37 (9) ◽  
pp. 871-878 ◽  
Author(s):  
M. K. Gíslason ◽  
B. Stansfield ◽  
M. Bransby-Zachary ◽  
T. Hems ◽  
D. H. Nash
Keyword(s):  
Finite Element ◽  
Load Transfer ◽  
Element Model ◽  
Carpal Bone ◽  
Force Transmission ◽  
Wrist Arthrodesis ◽  
Partial Arthrodesis ◽  
Radiocarpal Joint ◽  
Radioscapholunate Fusion ◽  
Operative Planning

A finite element model of the wrist was developed to simulate mechanical changes that occur after surgery of the wrist. After partial arthrodesis, the wrist will experience altered force transmission during loading. Three different types of partial arthrodesis were investigated — radiolunate, radioscaphoid, and radioscapholunate — and compared with the healthy untreated wrist. The results showed that the compressive forces on the radiocarpal joint decreased compared with the untreated wrist with both radiolunate and radioscaphoid fusions. The load transmission through the midcarpal joints varied depending on arthrodesis type. The forces in the extrinsic ligaments decreased with the fusion, most noticeably in the dorsal radiotriquetral ligament, but increased in the dorsal scaphotriquetral ligament. From the results of the study it can be concluded that the radioscapholunate fusion shows the most biomechanically similar behaviour out of the three fusion types compared with the healthy wrist. The modelling described in this paper may be a useful approach to pre-operative planning in wrist surgery.

Wrist Arthrodesis

2015 ◽  
pp. 109-110
Author(s):  
Scott F. M. Duncan ◽  
Christopher W. Flowers
Keyword(s):  
Wrist Arthrodesis
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