Wrist Arthrodesis Using a Synthes Wrist Fusion Plate

• Published in: Journal of hand surgery, British volume Vol. 28; no. 6; pp. 571 - 574
• Main Authors: Meads, B.M, Scougall, P.J, Hargreaves, I.C
• Format: Journal Article
• Language: English
• Published: Thousand Oaks, CA Elsevier Ltd 01.12.2003; SAGE Publications
• Subjects: Activities of Daily Living - classification; Adult; Arthrodesis - instrumentation; Bone Plates; Equipment Design; Female; Follow-Up Studies; Fractures, Ununited - surgery; Hand Strength - physiology; Humans; Joint Diseases - surgery; Lunate Bone - injuries; Lunate Bone - surgery; Male; Middle Aged; Patient Satisfaction; Postoperative Complications - etiology; Range of Motion, Articular - physiology; Rehabilitation, Vocational; retrospective review; Retrospective Studies; Scaphoid Bone - injuries; Scaphoid Bone - surgery; Titanium; wrist arthrodesis; wrist fusion plate; Wrist Injuries - surgery; Wrist Joint - surgery; wrist arthrodesis; wrist fusion plate; retrospective review
• ISSN: 0266-7681; 1532-2211
• DOI: 10.1016/S0266-7681(03)00146-3

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.