Assessment of Wrist Function After Simulated Total Wrist Arthrodesis

A systematic review of total wrist arthroplasty compared with total wrist arthrodesis for rheumatoid arthritis.

BACKGROUND Management of the end-stage rheumatoid wrist is controversial. The most common treatment is total wrist fusion. Total wrist arthroplasty offers a motion-preserving alternative. Comparison of outcomes for total wrist arthroplasty and total wrist fusion is necessary for evidence-based decision making. The purpose of this systematic review was to scientifically evaluate the existing lit...

Wedge Arthrodesis of the Wrist

The method of arthrodesis of the wrist here described was originally evolved by Mr E. P. Brockman in a case of severe flexion deformity of the wrist due to a long-standing Volkmann’s ischaemic contracture. Subsequently the method was extended in its application to other cases of flexion deformity of the wrist and later was also used for arthrodesis of the wrist in cases without deformity. Spike...

Total wrist arthrodesis with wrist fusion rod in patients with rheumatoid arthritis.

OBJECTIVES This study aims to retrospectively review the short-term surgical outcome of wrist fusion using wrist fusion rod (WFR). PATIENTS AND METHODS Six wrists of four female patients (mean age 56 years; range 51 to 62 years) with advanced stage rheumatoid arthritis of Larsen IV or V were performed total wrist fusion using WFR. Clinical outcome was assessed using a numeric rating scale of ...

Favorable results after total wrist arthroplasty

BACKGROUND AND PURPOSE During the past 40 years, several attempts have been made with total wrist arthroplasty to avoid fusion in severely destroyed wrists. The results have often been disappointing. There is only modest clinical documentation due to the small number of patients (especially non-rheumatoid cases) and short follow-up times. Here we report a multicenter series using a third-genera...

A Modified Bone Graft for Arthrodesis Wrist