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

Eklem hastalıkları ve cerrahisi = Joint diseases & related surgery
Kenji OnumaMasashi Takaso

Abstract

This study aims to retrospectively review the short-term surgical outcome of wrist fusion using wrist fusion rod (WFR). 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 pain satisfaction level. Bony fusion, correction of palmar subluxation and ulnar deviation, rod bending angle, wrist fusion angle, and complications were assessed from radiographs. All wrists achieved painless wrist stability with bony fusion of the radiocarpal joint. Both the palmar subluxation and ulnar deviation were corrected in all patients. Two radiographic complications were observed: rod fracture in one patient and a radiolucent line in proximal metacarpal bone in another patient. Both complications might have occurred as a result of instability of the third carpometacarpal joint, but neither influenced clinical outcome. Wrist fusion angle was smaller than rod bending angle at final observation. Wrist fusion using WFR is an option for the treatment of advanced stage rheumatoid arthritis of wrist. According to our experience, the stability of third carpometacarpal ...Continue Reading

Citations

Sep 18, 2020·The Journal of Hand Surgery, European Volume·Xi Ming ZhuBashar Alolabi
Jan 25, 2021·The Journal of Hand Surgery·Matthew R WalkerRoger A Daley
Mar 6, 2021·The Journal of Hand Surgery·Jeremy B RuskinMichael M Vosbikian

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