Radiolunate fusion in the rheumatoid wrist with Shapiro staples: clinical and radiological results of 22 cases
| Autor: | Christian Krettek, G. Suppelna, Tobias Hüfner, Frank Hildebrand, Ralph Gaulke, Musa Citak |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Wrist Joint musculoskeletal diseases medicine.medical_specialty Radiography Arthrodesis medicine.medical_treatment Wrist Arthritis Rheumatoid Fixation (surgical) Surgical Stapling medicine Humans Range of Motion Articular Aged Retrospective Studies Sutures business.industry Recovery of Function Middle Aged Internal Fixators humanities Surgery body regions Lunate Treatment Outcome medicine.anatomical_structure Patient Satisfaction Radiological weapon Orthopedic surgery Female business Range of motion Follow-Up Studies |
| Zdroj: | Journal of Hand Surgery (European Volume). 35:289-295 |
| ISSN: | 2043-6289 1753-1934 |
| DOI: | 10.1177/1753193409342054 |
| Popis: | We performed a retrospective clinical and radiological case control study on 22 rheumatoid wrists following radiolunate fusion via Shapiro staples with a mean follow-up of 5 years. Radiographs showed one early loosening through dorsal staple migration and four nonunions. Six wrists fused in mild ulnopalmar dislocation of the lunate. Primary intra-articular positioning of a staple was found in nine wrists, secondary intra-articular staple dislocation was found in two wrists. Dorsal staple dislocation was found in four fused arthrodeses. Osteolysis around the staples was found in all but two wrists. In contrast to unsatisfactory radiological results the clinical results were good or excellent in 18 patients. Good and excellent clinical results in the majority of the patients following radiolunate fusion does not depend on the fixation device. Nevertheless staple fixation of the radiolunate joint in the rheumatoid wrist is associated with a high rate of radiological complications. |
| Databáze: | OpenAIRE |
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