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Wrist arthrodesis

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https://www.readbyqxmd.com/read/27909126/medium-term-outcomes-of-the-universal-2-total-wrist-arthroplasty-in-patients-with-rheumatoid-arthritis
#1
R Badge, K Kailash, D R Dickson, S Mahalingam, A Raza, A Birch, D Nuttall, S R Murali, M J Hayton, S Talwalkar, A C Watts, I A Trail
AIMS: The aims of this study were to evaluate the clinical and radiological outcomes of the Universal-2 total wrist arthroplasty (TWA) in patients with rheumatoid arthritis. PATIENTS AND METHODS: This was a retrospective review of all 95 Universal-2 TWAs which were performed in our institution between 2003 to 2012 in patients with rheumatoid arthritis. A total of six patients were lost to follow-up and two died of unrelated causes. A total of ten patients had bilateral procedures...
December 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27893490/total-wrist-arthrodesis-indications-and-clinical-outcomes
#2
David H Wei, Paul Feldon
Total wrist arthrodesis remains an important technique in the surgical armamentarium of upper extremity surgeons. The procedure has evolved over time but continues to provide reliable pain relief at the expense of wrist motion. It is indicated for management of a wide variety of upper extremity conditions, including rheumatoid arthritis, posttraumatic osteoarthritis, cerebral palsy, and brachial plexus injuries, and as a salvage technique after failed implant arthroplasty. Recent studies demonstrate high levels of patient satisfaction and good functional outcomes after bilateral wrist fusion...
November 22, 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27890248/proximal-row-carpectomy-on-manual-workers-17%C3%A2-patients-followed-for-an-average-of-6%C3%A2-years
#3
S Delclaux, D Israel, C Aprédoaei, M Rongières, P Mansat
: Proximal row carpectomy (PRC) is indicated for the treatment of SNAC or SLAC wrist with preservation of the midcarpal joint. Our hypothesis was that PRC is not appropriate for treating advanced wrist osteoarthritis in patients who carry out heavy manual work. Twenty-three PRCs were performed on 21 patients, 5 women and 16 men with an average age of 54 years (33-77). All patients performed manual work; 11 of them performed heavy manual work. Etiologies were: SLAC wrist in 14 cases (2 stage III, 11 stage II, and 1 stage I) and SNAC wrist in 9 cases (6 stage IIIB and 3 stage IIB)...
December 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27803379/four-corner-arthrodesis-employing-the-native-scaphoid-as-the-principal-donor-graft-for-advanced-collapse-deformity-of-the-wrist-technique-and-outcomes
#4
S M Koehler, C P Melone
: The purpose of this study was to determine the functional, radiographic, and subjective outcome of the authors' technique of four-corner arthrodesis using the en bloc excised scaphoid as the principal donor bone graft coupled with Kirschner wire fixation. The study comprised 40 consecutive patients with progressive Stage II and III scapholunate advanced collapse or scaphoid nonunion advanced collapse deformities. Preoperative and postoperative range of motion, grip strength, carpal height, and Michigan Hand Outcomes Questionnaire responses were assessed with a mean follow-up of 4...
October 31, 2016: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/27800201/a-case-of-implant-failure-in-partial-wrist-fusion-applying-magnesium-based-headless-bone-screws
#5
Alice Wichelhaus, Judith Emmerich, Thomas Mittlmeier
This article presents a case of implant failure resulting in mechanical instability of a scaphotrapezotrapezoideal arthrodesis using magnesium-based headless bone screws. During revision surgery osteolysis surrounding the screws was observed as well as degraded screw threads already in existence at 6 weeks after implantation. The supposed osseous integration attributed to magnesium-based screws could not be reproduced in this particular case. Thus, it can be reasoned that the use of magnesium-based screws for partial wrist arthrodesis cannot be encouraged, at least not in dual use...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27789811/successful-conversion-of-wrist-prosthesis-to-arthrodesis-in-11-patients
#6
O Reigstad, T Holm-Glad, R Thorkildsen, C Grimsgaard, M Røkkum
: From 2001 to 2015, 11 wrists in 11 patients with osteoarthritis of the wrist had failed wrist arthroplasties, which were subsequently converted to arthrodesis using intercalated corticocancellous autograft from the iliac crest and fixation with an arthrodesis plate or a customized peg. Clinical and radiological bone union was achieved in all the operated wrists. At final follow-up of ten patients after 6 years, they had a substantial reduction in pain and improvement in daily function and grip strength compared with those before arthrodesis...
October 26, 2016: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/27777816/stage-iii-advanced-wrist-collapse-treatment-options-a-cadaveric-study
#7
Jorge Chahla, Jason M Schon, Ramiro Olleac, Sebastián Senes, Damián Arroquy, Chase S Dean, Gabriel Clembosky, Alvaro Muratore
Background Scapholunate advanced collapse and scaphoid nonunion advanced collapse result in high morbidity and pose significant challenges for active patients. Multiple treatment options have been proposed to yield satisfactory results; however, restoration of physiological wrist motion remains an issue. Questions/Purposes The objective of this study was to compare wrist mobility after four different treatment methods for grade III wrist collapse: (1) no treatment, (2) scaphoidectomy and lunate-capitate arthrodesis, (3) scaphoidectomy, lunate-capitate arthrodesis, and triquetrum-hamate arthrodesis, and (4) scaphoidectomy, lunate-capitate arthrodesis, and triquetrum excision...
November 2016: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/27777815/the-prevalence-of-pisotriquetral-arthritis-in-the-setting-of-scapholunate-advanced-collapse
#8
Schneider K Rancy, Samir K Trehan, Angela E Li, Steve K Lee, Hollis G Potter, Scott W Wolfe
Background Previous authors have reported pisotriquetral pain and subsequent pisiform excision following partial or total wrist fusion in patients with scapholunate advanced collapse (SLAC). Prior studies have not considered the potential role of SLAC biomechanics on pisotriquetral osteoarthritis (PT OA) development preoperatively. Purpose To determine the prevalence and severity of PT OA in patients with SLAC as compared with a control population. Patients and Methods Magnetic resonance imaging (MRI) studies of 24 patients with SLAC wrist and 24 sex- and age-matched control patients were analyzed...
November 2016: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/27741054/surgical-treatment-of-symptomatic-congenital-type-i-lunotriquetral-coalition-technique-and-a-report-of-4-cases
#9
Daniel Tordjman, Mohamed K Barry, Richard M Hinds, S Steven Yang
Lunotriquetral (LT) synchondrosis is an uncommon variant of congenital LT coalition. Unlike complete LT fusions, this incomplete pseudoarthrosis-like coalition can become symptomatic. Surgical LT arthrodesis is a described treatment for this variant of LT coalition (Minnaar type I). We report 4 patients who underwent LT fusion with a second-generation headless compression screw and distal radius cancellous autograft. Fusion was achieved in all cases at an average of 2.5 months postoperatively. All the patients were satisfied with complete pain relief in 2 patients and minimal pain in 2 patients, and all improved their range of motion...
December 2016: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/27695881/-secondary-tendon-reconstruction-on-the-thumb
#10
REVIEW
B Bickert, T Kremer, U Kneser
Closed tendon ruptures of the thumb that require secondary reconstruction can affect the extensor pollicis longus (EPL), extensor pollicis brevis (EPB) and flexor pollicis longus (FPL) tendons. Treatment of rupture of the EPB tendon consists of refixation to the bone and temporary transfixation of the joint. In the case of preexisting or posttraumatic arthrosis, definitive arthrodesis of the thumb is the best procedure. Closed ruptures of the EPL and FPL tendons at the wrist joint cannot be treated by direct tendon suture...
September 30, 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/27682296/four-corner-arthrodesis-using-two-headless-compression-screws
#11
S D Iordache, D Nam, J Paylan, T Axelord
We present the outcome of four-corner wrist arthrodesis using two headless compression screws for fixation. The study group consisted of 27 patients who underwent arthrodesis from 1998 through 2007. Data on demographic parameters, diagnosis, range of motion, pain and complications were collected from the medical files. A total of 77 series of anteroposterior, oblique, and lateral x-rays were reviewed by three independent interpreters ; consensus of at least two was required for the bones to be considered fused...
August 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/27622151/four-corner-fusion-using-a-multidirectional-angular-stable-locking-plate
#12
Tahseen Chaudhry, Michelle Spiteri, Dominic Power, Mark Brewster
AIM: To review the results of our experience with the Medartis Aptus plating system for four corner arthrodesis of the wrist, which uses a combination of compression screws and variable angle locking screws. METHODS: We reviewed the results of 17 procedures in 16 patients that underwent scaphoid excision and four corner fusion using the Medartis Aptus system between May 2010 and June 2014. The primary outcome measure was radiographic and clinical union. RESULTS: The mean clinical follow up time was 20...
August 18, 2016: World Journal of Orthopedics
https://www.readbyqxmd.com/read/27570228/changes-in-wrist-motion-after-simulated-scapholunate-arthrodesis-a-cadaveric-study
#13
Kevin D Han, Jaehon M Kim, Michael V DeFazio, Ricardo J Bello, Ryan D Katz, Brent G Parks, Kenneth R Means
PURPOSE: A high incidence of nonunion and relatively poor outcomes with prior fixation techniques has precluded scapholunate (SL) arthrodesis as a standard treatment for SL instability. Our purpose was to determine the impact on range of motion (ROM) of simulated SL arthrodesis via headless screw fixation. METHODS: We performed baseline wrist ROM for 10 cadaveric wrists using a standardized mounting-and-weights system. Extension, flexion, radial deviation, ulnar deviation, dart-thrower's extension, and dart-thrower's flexion were assessed...
September 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27569783/the-effect-of-wrist-position-on-grip-endurance-and-grip-strength
#14
Julia-Ann Lee, Sreedharan Sechachalam
PURPOSE: Studies on grip endurance are scant even though it is an important topic with practical implications. This study compares the effect of wrist position, in the flexion-extension plane, on grip endurance and grip strength. METHODS: Grip strength and grip endurance were quantified bilaterally at 6 different wrist positions (unrestrained, 45°, 30°, and 15° extension, 0° and 30° flexion) in 38 healthy right-handed individuals. RESULTS: Our results show that wrist orthosis significantly reduced grip strength across all positions and the maximum grip strength in the position with an orthosis occurred at 15° and 30° extension for the dominant hand and 15°, 30°, and 45° extension for the nondominant hand...
October 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27565520/functional-outcome-of-en-bloc-resection-of-a-giant-cell-tumour-of-the-distal-radius-and-arthrodesis-of-the-wrist-and-distal-ulna-using-an-ipsilateral-double-barrel-segmental-ulna-bone-graft-combined-with-a-modified-sauve-kapandji-procedure
#15
W Zhang, J Zhong, D Li, C Sun, H Zhao, Y Gao
: Giant cell tumour of the distal radius is a locally aggressive lesion. In this study, we performed a wrist arthrodesis reconstruction with an ipsilateral double barrel segmental ulnar bone graft combined with a modified Sauve-Kapandji procedure for a giant cell tumour of the distal radius. From January 2007 to September 2013, we followed eight patients for a mean duration of 36 months. One patient developed a recurrence and was treated by amputation; the other seven patients achieved radiological union in about 8 months...
August 25, 2016: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/27524692/the-effect-of-capitate-position-on-coronal-plane-wrist-motion-after-simulated-4-corner-arthrodesis
#16
Alexia Hernandez-Soria, Soumen Das De, Zina Model, Steve K Lee, Scott W Wolfe
PURPOSE: The objective of this study was to examine the effect of altering the capitolunate relationship on coronal-plane wrist motion after scaphoidectomy and simulated 4-corner arthrodesis. Two positions of different capitolunate alignments were compared: "anatomic" (unchanged from pre-fusion) and "lunate-covered" (capitate translated to cover the lunate). We hypothesized that wrist resting posture would be altered and radial-ulnar motion would diminish after 4-corner arthrodesis in the lunate-covered position when compared with normal wrists...
August 11, 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27467682/reconstruction-of-a-postraumatic-radial-club-hand-with-a-free-fibular-osteoseptocutaneous-flap-and-sauve-kapandji-procedure-a-case-report
#17
Ricardo Horta, Ricardo Nascimento, Alvaro Silva, Rui Pinto, Pedro Negrão, Ricardo São-Simão, Jorge Carvalho, Marta Santos Silva, Jose Amarante
Radial club hand may be congenital or acquired; radial deviation of the hand is usually found, associated with palmar flexion-pronation and treatment of severe forms of radial club hand is often difficult. Here we present a case of reconstruction of a severe postraumatic radial club hand with a free fibular osteoseptocutaneous flap and Sauve-Kapandji procedure in a 28-year-old man. The patient had a radial deviation of the wrist and right upper limb shortening as a result of an infected pseudarthrosis of the radius...
October 2016: Microsurgery
https://www.readbyqxmd.com/read/27454635/limited-wrist-arthrodesis-for-scapholunate-advanced-collapse-wrist-triangle-fixation-for-four-corner-fusion
#18
Kosuke Shintani, Kenichi Kazuki, Kiyohito Takamatsu, Masahiro Yoneda, Takuya Uemura
BACKGROUND: Limited wrist arthrodesis with scaphoid excision is a useful treatment for scapholunate advanced collapse (SLAC) of the wrist. Multiple Kirschner wires were originally used for internal fixation of the four carpal bones, however long-term cast immobilization, pin tract infection, and hardware removal are still problematic. We introduce and evaluate the clinical outcomes of an internal fixation technique; triangle fixation for four-corner fusion, using three headless screws, as an alternative to conventional multiple Kirschner wires for the treatment of SLAC wrist...
June 2016: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/27299089/persistent-posttraumatic-wrist-pain-tuberculosis-infection-should-be-in-the-differential-diagnosis-a-rare-case-report
#19
Shardul Madhav Soman, Bhavik Nandubhai Patel, Pratik Dineshbhai Shah
INTRODUCTION: It is uncommon for hand surgeons to diagnose and treat persistent post-traumatic radius fracture on the lines of tuberculosis infection even in developing countries especially when the clinical picture resembles more of a complex regional pain syndrome (CRPS). Although it works for many patients, some conditions that affect the wrist don't fall in this category and worsen with this treatment practice. We present a patient who had an extra articular distal radius fracture treated initially with percutaneous pinning and was treated as CRPS for the next ten months by local physician...
October 2015: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27185463/surgical-treatments-for-osteoarthritis
#20
Nicolas de l'Escalopier, Philippe Anract, David Biau
There are two main surgical treatments for osteoarthritis: conservative treatments, where the damaged cartilage is left in place, and radical treatments, where the cartilage is replaced by an artificial endoprosthesis; this latter procedure is termed joint arthroplasty. These treatments are only offered to symptomatic patients. Arthrodesis is yet another surgical intervention in cases of osteoarthritis. It will sacrifice the joint's articular function and is performed on small osteoarthritic joints, such as wrists and ankles, for instance...
June 2016: Annals of Physical and Rehabilitation Medicine
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