Experience with Alternative Sources of Structural Bone Graft for Total Wrist Fusion in Three Rheumatoid Arthritis Patients

Radiolunate fusion is a limited carpal fusion procedure used for patients with rheumatoid arthritis. However, this procedure inevitably causes decreases in range of motion, especially wrist flexion. Linscheid and Dobyns described the possibility of minimizing the decrease in motion at the radiocarpal joint by slight distraction of the joint. We hypothesized for our modified procedure that a corticocancellous bone graft was inserted between the radius and the lunate with a small amount of over-correction could provide slight distraction of radioscaphoid joint and protect the joint from decreased range of motion after arthrodesis. Twelve wrists in ten patients with rheumatoid arthritis underwent radiolunate fusion. Mean age at operation was 53 years old and mean follow-up period was 5.7 years. Clinical evaluation and radiological assessment showed that decrease in range of motion was minimized compared with other procedures. Because our modified procedure can minimize decrease in motion, it is recommended.

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Total hip arthroplasty with bone graft to acetabulum in patients with rheumatoid arthritis.

Orthopedics & Traumatology ◽

10.5035/nishiseisai.38.1447 ◽

1990 ◽

Vol 38 (4) ◽

pp. 1447-1451

Author(s):

Hiromasa Miura ◽

Masakazu Kondo ◽

Norihisa Kawada ◽

Toshihide Syuto ◽

Koichiro Yokoyama ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Total Hip Arthroplasty ◽

Bone Graft ◽

Hip Arthroplasty ◽

Total Hip

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Scaphoid Non-union with Humpback Deformity Treated without Structural Bone Graft

The Journal Of Hand Surgery ◽

10.1016/s0363-5023(12)60034-3 ◽

2012 ◽

Vol 37 (8) ◽

pp. 26

Author(s):

Mark S. Cohen ◽

Kianoosh Fallahi ◽

Sanjai K. Shukla

Keyword(s):

Bone Graft ◽

Non Union ◽

Structural Bone Graft

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Tibiotalocalcaneal Arthrodesis With Bulk Talar Allograft for Treatment of Talar Osteonecrosis

Foot & Ankle International ◽

10.1177/1071100718761036 ◽

2018 ◽

Vol 39 (4) ◽

pp. 506-514 ◽

Cited By ~ 4

Author(s):

Kenneth W. DeFontes ◽

Joshua Vaughn ◽

Jeremy Smith ◽

Eric M. Bluman

Keyword(s):

Femoral Head ◽

Bone Graft ◽

Young Patient ◽

Early Disease ◽

Level Of Evidence ◽

Painful Condition ◽

Tibiotalocalcaneal Arthrodesis ◽

Structural Bone Graft ◽

Stage Disease ◽

Extensive Involvement

Talar body osteonecrosis can be a devastating, painful condition that is difficult to manage surgically when conservative treatments have failed. With early disease, nonoperative treatments can prolong the need for operative correction in the young patient. Later stage disease with extensive involvement may require a tibiotalocalcaneal (TTC) arthrodesis to retain functionality of the limb. This situation frequently requires a structural bone graft. Using the technique described in this article, the void resulting from collapse of the talar body is filled with talar allograft, which offers a more anatomic and structurally rigid construct than previously described methods using an allograft femoral head. We have found this technique to be more resilient and successful than other methods. Level of Evidence: Level V, expert opinion.

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One stage posterior debridement, non-structural bone graft in the surgical treatment of single segment thoracic tuberculosis: A retrospective single-center cohort study

International Journal of Surgery ◽

10.1016/j.ijsu.2019.04.002 ◽

2019 ◽

Vol 65 ◽

pp. 134-139 ◽

Cited By ~ 3

Author(s):

Xing Du ◽

Yun-sheng Ou ◽

Yong Zhu ◽

Zeng-hui Zhao ◽

Wei Luo ◽

...

Keyword(s):

Cohort Study ◽

Surgical Treatment ◽

Bone Graft ◽

Single Center ◽

Single Segment ◽

One Stage ◽

Structural Bone Graft ◽

Posterior Debridement ◽

Thoracic Tuberculosis

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Wrist Arthrodesis in Rheumatoid Arthritis Using an LCP Metaphyseal Locking Plate versus an AO Wrist Fusion Plate

International Journal of Rheumatology ◽

10.1155/2018/4719634 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Toshitake Taii ◽

Takumi Matsumoto ◽

Sakae Tanaka ◽

Ichiro Nakamura ◽

Katsumi Ito ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Wound Dehiscence ◽

Extensor Tendon ◽

Plate Versus ◽

Original Position ◽

Wrist Arthrodesis ◽

Plate Group ◽

Wrist Fusion ◽

The Mean

Objectives. Although wrist arthrodesis using a plate is an established treatment with a well-documented successful union rate for severely destroyed wrists, plate-related complications are a matter of great concern. Methods. We retrospectively compared wrist arthrodesis using an AO wrist fusion plate in nine and a locking compression plate (LCP) metaphyseal plate in seven cases of rheumatoid arthritis. Results. The mean follow-up was 40.6 months in the AO wrist fusion plate group and 57.2 months in the LCP metaphyseal plate group. Bone union at the arthrodesis site was achieved in all cases in both groups. Comparison of the original position of the fusion on the immediate postoperative radiographs and the position on the most recent follow-up radiographs demonstrated good stability in both groups. Plate-related complications occurred in four cases in the AO wrist fusion plate group and no cases in the LCP metaphyseal plate group. Complications included pain over the plate, wound dehiscence and infection, extensor tendon adhesion, and fracture in one case each. Conclusion. Wrist arthrodesis using an LCP metaphyseal plate was favorable for rheumatoid arthritis patients with comparable stability to that of and a lower risk of plate-related complications than an AO wrist fusion plate.

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