[Partial Fusion of the wrist - an alternative procedure to the total wrist arthrodesis].
Despite the important observations that have been made concerning biomechanics and function of the wrist joint in recent years, the surgeon is still confronted with a huge number of delayed posttraumatic disorders of this joint. In the past, total wrist fusion was the leading salvage procedure, whereas today several salvage procedures are available to solve these problems. Partial wrist fusions are supposed to stabilize the carpus, immobilize destroyed articulating surfaces while allowing motion in the unharmed parts of the wrist. Acknowledging pathobiomechanical laws, they have been used for a growing number of indications with a large benefit. The patients profit of better functional results than can be observed in patients with total arthrodesis of the wrist. Furthermore, partial wrist fusion provides a more stable situation and the absence of pain for a longer period of time. However, further studies evaluating the clinical outcome of these salvage procedures are necessary and to be expected in the near future.
Meier
R
R
Medizinische Hochschule Hannover, Germany. reinhard.meier@handchirug.org
Lanz
U
U
Krimmer
H
H
D001174:Arthrodesis / Q000379:methods*; D001860:Bone Plates; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000503:physiopathology; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D014954:Wrist Injuries / Q000000981:diagnostic imaging / Q000601:surgery*