Pin arthrodesis of the wrist--a modified technique.
An intramedullary pin is commonly used for wrist arthrodesis in patients with rheumatoid arthritis. However, pin migration is a recognized complication of this technique. We report the results of wrist fusion in 15 patients using a modified technique with a transverse blocking screw inserted into the metacarpal distal to the intramedullary pin to prevent distal migration and backing out of the intramedullary pin. The procedure is simple to perform, does not add significantly to the operating time and has not been associated with any complications.
Department of Orthopaedics, Raigmore Hospital, Inverness IV2 3UJ, UK. kapilmanisha@gmail.com
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Kumar
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Cox
D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000295:instrumentation / Q000379:methods*; D001858:Bone Nails; D001863:Bone Screws; D005260:Female; D005548:Foreign-Body Migration / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014955:Wrist Joint / Q000601:surgery*