Wrist Arthrodesis Using a Synthes Wrist Fusion Plate

Abstract

Thirty-nine patients were retrospectively reviewed after a wrist arthrodesis using a Synthes wrist fusion plate and iliac crest bone graft. Information was obtained from review of patient files, a questionnaire to assess pain, function and work status, and clinical assessment of grip strength, forearm rotation and fingers motion. All wrist fusions united except that the index carpometacarpal joint failed to unite in one patient. Thirty-seven patients were satisfied with the procedure, noting a reduction in wrist pain after fusion, but all reported some limitation of function. The wrist fusion plate was removed in six patients and a further four patients experienced minor symptoms over the dorsal aspect of the middle finger metacarpal.

Salvage of multiple extensor tendon ruptures using extensor carpi radialis longus tendon in volar-dislocated rheumatoid wrist

“…This rate is quite high and not acceptable in consideration of tendon reconstruction surgery. 6 Obviously, the benefit of plating is not only the rigid fixation but also the fusing of the wrist in optimal alignment. The possible downside of plating in a tendon transferring technique is irritation of the transferred tendon, especially when the plate is not totally covered with the soft tissue of the sliding floor.…”

“…[4][5][6]10 However, we chose intramedullary screwing fixation supported by two additional Kirschner wires, in an attempt to avoid tendon laceration, and succeeded in re-aligning in the wrist to overcome the disadvantages of intramedullary fixation such as back-out. Since the clinical and functional results were unexpectedly good, we would like to describe our surgical method.…”

Management of Complications of Wrist Arthroplasty and Wrist Fusion

“…For total wrist fusion that addresses degenerative and post-traumatic conditions, dorsal compression plating has provided the most promising results with regards to high union rates and is therefore considered the standard (24,(48)(49)(50)(51)(52). However, in cases of inflammatory arthritis, there is increased concern for implant failure with plating due to poor bone quality, in addition to concerns with wound healing.…”

Secondary Osteoarthrosis: Partial or Total Arthrodesis Versus Wrist Arthroplasty

“…With the use of special wrist fusion plates ( Fig. 41.2 ), the number of carpal or carpometacarpal nonunions is low (2-7 %) (Meads et al 2003 ;Houshian and Schroder 2001 ). Nevertheless, TWF may have an important negative impact on the health status of patients with posttraumatic OA (Adey et al 2005 ), and with increasing interest in functional outcome after surgery, the importance of preserving some range of wrist movement to allow activities of daily living such as writing, personal care, dressing and combing hair has become apparent.…”