Arthrodesis of the wrist with bone autograft and Hoffmann external fixation
| Autor: | Frederic Schuind, Claude Robert, W. El-Kazzi, Franz Léon Burny, Véronique Feipel, Dominique Mouraux |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Wrist Joint medicine.medical_specialty External Fixators medicine.medical_treatment Arthrodesis Comorbidity Osteoarthritis Bone healing 030230 surgery Wrist Young Adult 03 medical and health sciences External fixation Grip strength 0302 clinical medicine Forearm medicine Humans Range of Motion Articular Aged Pain Measurement Postoperative Care 030222 orthopedics Bone Transplantation Hand Strength business.industry Middle Aged medicine.disease Combined Modality Therapy Surgery body regions medicine.anatomical_structure Patient Satisfaction Female business Splint (medicine) Follow-Up Studies |
| Zdroj: | Journal of Hand Surgery (European Volume). 37:149-154 |
| ISSN: | 2043-6289 1753-1934 |
| DOI: | 10.1177/1753193411416565 |
| Popis: | We report a series of 29 cases of wrist arthrodesis using a radiometacarpal half-frame or triangular Hoffmann configuration, bone autograft, and relocation of a retinacular rectangular flap under the extensor tendons to prevent adhesions. No splint or plaster cast has been used. Early active motion of the fingers was encouraged. The average duration of follow-up was 4 years. Bone healing was obtained in 27 patients after 104 days on average. All patients regained full finger movements and rotation of the forearm. Nine patients were reassessed on average 7.2 years after the arthrodesis: the VAS for pain at rest was 2.4/10, the DASH score 33/100, the grip strength 75% of the contralateral side on average. |
| Databáze: | OpenAIRE |
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