RADIOLUNATE FUSION WITH DISTRACTION USING CORTICOCANCELLOUS BONE GRAFT FOR MINIMIZING DECREASE OF WRIST MOTION IN RHEUMATOID WRISTS
| Autor: | Hiroyuki Kato, Akio Minami, Jun-ichi Ishikawa, Tatsuya Masuko, Norimasa Iwasaki |
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| Rok vydání: | 2009 |
| Předmět: |
Male
Wrist Joint musculoskeletal diseases medicine.medical_specialty Arthrodesis medicine.medical_treatment Bone Screws Wrist Arthritis Rheumatoid Distraction medicine Humans Lunate Bone Range of Motion Articular Aged Retrospective Studies Bone Transplantation business.industry Mean age General Medicine Middle Aged medicine.disease Surgery Radiography Lunate Radius Treatment Outcome medicine.anatomical_structure Rheumatoid arthritis Female Range of motion business Clinical evaluation Bone Wires |
| Zdroj: | Hand Surgery. 14:15-21 |
| ISSN: | 1793-6535 0218-8104 |
| DOI: | 10.1142/s0218810409004232 |
| Popis: | Radiolunate fusion is a limited carpal fusion procedure used for patients with rheumatoid arthritis. However, this procedure inevitably causes decreases in range of motion, especially wrist flexion. Linscheid and Dobyns described the possibility of minimizing the decrease in motion at the radiocarpal joint by slight distraction of the joint. We hypothesized for our modified procedure that a corticocancellous bone graft was inserted between the radius and the lunate with a small amount of over-correction could provide slight distraction of radioscaphoid joint and protect the joint from decreased range of motion after arthrodesis. Twelve wrists in ten patients with rheumatoid arthritis underwent radiolunate fusion. Mean age at operation was 53 years old and mean follow-up period was 5.7 years. Clinical evaluation and radiological assessment showed that decrease in range of motion was minimized compared with other procedures. Because our modified procedure can minimize decrease in motion, it is recommended. |
| Databáze: | OpenAIRE |
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