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Total wrist arthrodesis in patients with advanced osteoarthritis: current implants and outcomes.
J Hand Surg Eur Vol
January 2025
Hand & Wrist Unit, Genolier Campus, Vaud, Switzerland.
Article Synopsis
- Total wrist arthrodesis is an option for treating severe wrist osteoarthritis after other treatments fail, serving as a last-resort procedure.
- Patients generally report satisfaction post-surgery, but may still experience pain and limited wrist movement.
- Frequent complications arise, often relating to incomplete bone fusion or hardware issues, and further research is needed to determine the best implant and treatment approach.
Surgical options and outcomes for treatment of osteoarthritis of the scaphotrapeziotrapezoidal joint.
J Hand Surg Eur Vol
January 2025
Institut de la main Nantes-Atlantique, Saint-Herblain, France.
Osteoarthritis of the scaphotrapeziotrapezoidal joint is frequent but often pain-free or well tolerated with non-surgical treatment. Surgical options are numerous and none seems to have clear evidence of superiority. In addition to well-established procedures, such as scaphotrapeziotrapezoidal joint arthrodesis, distal scaphoid resection and trapeziectomy, more recent surgical techniques have been reported.
View Article and Find Full Text PDFRadiocarpal Fracture Dislocation: Minimally Invasive Treatment Assisted by Arthoscopic - Case Report.
Rev Bras Ortop (Sao Paulo)
November 2024
Departamento de Cirurgia Plástica, Universita Degli Studi Di Milano, Milão, Itália.
To measure the life quality, clinical-functional outcomes of a patient who had undergone acute reconstruction of radio scapho capitate (RSC), radio lunate (RLL) ligaments, using brachiorradialis tendon in treatment of radiocarpal fracture dislocation. 21-years-old, man with radiocarpal fracture dislocation in his left wrist, after motorcycle accident. Percutaneous screw fixation of the distal radius and acute reconstruction of the RSC and RLL was performed, assisted by arthroscopy.
View Article and Find Full Text PDFEvaluating inter- and intraobserver reliability in radiographic determination of wrist alignment following scaphoid excision and four-corner arthrodesis.
J Hand Microsurg
October 2024
Department of Orthopaedic Surgery, Rothman Orthopaedic Institute, Philadelphia, PA, USA.
Background: Four-corner arthrodesis is commonly performed for advanced collapse patterns of wrist arthritis. Reduction of the capitolunate (CL) angle during four-corner fusion is crucial to allow for the greatest radiocarpal joint arc of motion. Previous studies demonstrate variable inter- and intraobserver reliability of measuring the CL angle.
View Article and Find Full Text PDFRadioscapholunate Arthrodesis for Management of Madelung Deformity: A Case Report.
JBJS Case Connect
July 2024
Department of Orthopaedic Surgery, NYU, New York, New York.
Case: A 32-year-old woman with bilateral Madelung deformity presented with severe pain and arthritis of the radiocarpal and distal radioulnar joints. At final follow-up, 17 months for the left and 12 months for the right wrist, she had excellent functional results with no pain. Range of motion was 30° of flexion and 30° of extension with full pronosupination.
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