Spontaneous radioscapholunate fusion after septic arthritis of the wrist: a case report

Quadlbauer, S.; Pezzei, Ch.; Jurkowitsch, J.; Keuchel, T; Hausner, T.; Leixnering, M.

doi:10.1007/s00402-017-2659-1

Cited by 21 publications

(9 citation statements)

References 23 publications

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“…They were partly used in combination with external fixation. However, secondary dislocation still occurred [9][10][11][12][13][14], that necessitated correction and salvage procedures [15][16][17][18][19][20][21][22][23][24][25][26][27].…”

Section: Introductionmentioning

confidence: 99%

Biomechanical considerations on a CT-based treatment-oriented classification in radius fractures

Hintringer¹,

Rosenauer

Pezzei

et al. 2020

Arch Orthop Trauma Surg

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A wide range of different classifications exist for distal radius fractures (DRF). Most of them are based on plane X-rays and do not give us any information on how to treat these fractures. A biomechanical understanding of the mechanical forces underlying each fracture type is important to treat each injury specifically and ensure the optimal choice for stabilization. The main cause of DRFs are forces acting on the carpus and the radius as well as the position of the wrist in relation to the radius. Reconstructing the mechanism of the injury gives insight into which structures are involved, such as ruptured ligaments, bone fragments as well as the dislocated osteoligamentous units. This article attempts to define certain key fragments, which seem crucial to reduce and stabilize each type of DRF. Once the definition is established, an ideal implant can be selected to sufficiently maintain reduction of these key fragments. Additionally, the perfect approach is selected. By applying the following principles, the surgeon may be assisted in choosing the ideal form of treatment approach and implant selection.

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Section: Introductionmentioning

confidence: 99%

Biomechanical considerations on a CT-based treatment-oriented classification in radius fractures

Hintringer¹,

Rosenauer

Pezzei

et al. 2020

Arch Orthop Trauma Surg

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“…arthritis. 6 However, this case is very rare and surgical reconstruction is usually required. Deml et al reported total wrist arthrodesis using vascularized iliac bone autograft.…”

Section: Discussionmentioning

confidence: 99%

“…Septic wrist joint arthritis is a relatively rare condition. 6 The incidence of the condition is reportedly 4-10 per 100,000 patients per year. 7 Septic wrist arthritis accounts for 4% of all septic arthritis.…”

Section: Discussionmentioning

confidence: 99%

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Reconstruction of Carpal Bone Loss of Septic Wrist Arthritis Using Induced Membrane Technique

Inui

Mifune

Nishimoto

et al. 2020

Journal of Hand and Microsurgery

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The induced membrane technique has been widely used for the reconstruction of the segmental bone defect. The technique requires two-stage surgery. The first surgery is debridement of the affected bone and replacement of the defect by cement spacer. The spacer is removed at the second surgery, and the defect is filled with cancellous bone. The use of the technique for septic wrist arthritis treatment has not been reported. We report two cases of septic wrist arthritis treated by the induced membrane technique. Radical debridement including the carpal bones was performed as a first surgery. The cement spacer was placed into the bone defect after first surgery; then cancellous bone was transplanted into the induced membrane several weeks later. External fixator or plate fixation was performed simultaneously. Bone formation was observed in both cases at several months after the reconstruction surgery. There was no pain or recurrence of infection in both cases. We consider this technique is a possible method for reconstruction, especially in a difficult case.

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“…Due to the introduction of palmar angular stable plate systems, a fixation of dorsally displaced DRF became possible from the palmar aspect of the distal radius. Palmar fixation ensures sufficient stability to allow early active wrist mobilization without immobilization/ splinting [13,[20][21][22][23][24].…”

Section: Introductionmentioning

confidence: 99%

Indications, surgical approach, reduction, and stabilization techniques of distal radius fractures

Leixnering

Rosenauer

Pezzei

et al. 2020

Arch Orthop Trauma Surg

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Distal Radius fractures (DRF) are one of the most common injuries in the upper extremity and incidence is expected to rise due to a growing elderly population. The complex decision to treat patients operatively or conservatively depends on a large variety of parameters which have to be considered. No unanimous consensus has been reached yet, which operative approach and fixation technique would produce the best postoperative functional results with lowest complication rates. This article addresses the available evidence for indications, approaches, reduction, and fixation techniques in treating DRF.

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Spontaneous radioscapholunate fusion after septic arthritis of the wrist: a case report

Cited by 21 publications

References 23 publications

Biomechanical considerations on a CT-based treatment-oriented classification in radius fractures

Biomechanical considerations on a CT-based treatment-oriented classification in radius fractures

Reconstruction of Carpal Bone Loss of Septic Wrist Arthritis Using Induced Membrane Technique

Indications, surgical approach, reduction, and stabilization techniques of distal radius fractures

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