WRIST ARTHRODESIS USING A SLAB BONE-GRAFT FROM THE DORSAL RADIUS

Citation
Ch. Chang et al., WRIST ARTHRODESIS USING A SLAB BONE-GRAFT FROM THE DORSAL RADIUS, Journal of the Formosan Medical Association, 97(5), 1998, pp. 335-338
Citations number
15
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Medicine, General & Internal
ISSN journal
0929-6646
Volume
97
Issue
5
Year of publication
1998
Pages
335 - 338
Database
ISI
SICI code
0929-6646(1998)97:5<335:WAUASB>2.0.ZU;2-0
Abstract
Arthrodesis is a well-established procedure for the management of wris t deformity, instability, and arthritis resulting from various causes. Several techniques, with or without internal fixation or heterotopic bone grafting, have been described, but no single procedure has gained general acceptance. We present our results using a simple and reliabl e technique that employs a local bone graft and light internal fixatio n. From 1987 to 1996, eight consecutive patients with wrist lesions we re treated using a modified Gill procedure for arthrodesis. The averag e age of patients was 62 years and the mean follow-up period was 4 yea rs. A slab corticocancellous bone graft harvested from the dorsal aspe ct of the distal radius was turned about to cover the fusion mass from the distal radius to the third metacarpal bone. Kirschner wires and t ension band wires were used to fix the wrist and compress the bone gra ft. A long arm cast was applied for 6 weeks, followed by a short arm c ast until arthrodesis was achieved. The wrist position was well mainta ined by the tension band wire alone thereafter. Pain relief, grip stre ngth, and assesment of daily activities were documented. Solid fusion was achieved smoothly in all cases and all patients were satisfied wit h the results. We recommend this simple and reliable technique for wri st arthrodesis.