title: The effectiveness of RA wrist fusion using Beta-TCP without autogenous iliac bone grafting: a report of four cases.
abstract: Wrist arthrodesis is indicated for the rheumatoid hand especially in cases with severe destruction of the carpal bones. In the arthrodesis procedure for the rheumatoid wrist, autogenous iliac bone grafting is required in most cases. However, autogenous iliac bone graft necessitates the additional surgical intervention, and can be associated with the problem of inadequate bony quality or quantity. It is thought that use of the artificial bone substitute in the procedure can lessen the surgical morbidity while supplying the consistent material without shortage of graft quantity. We have performed arthrodesis of the rheumatoid wrist using beta-TCP for four patients. Clinical results of these patients were satisfactory both in pain relief and functional improvement with complete bony healing. Therefore, this procedure seems to be an effective option for the rheumatoid wrist with severe destructive changes.
authors.affiliation: Department of Orthopaedic Surgery, Konan Kakogawa Hospital, 1545-1, Saijo, Kanna-cho, Kakogawa 675-8545, Japan. nnakagawa_kkb@knc.kakogawa.or.jp
authors.forename: Natsuko
authors.initials: N
authors.lastname: Nakagawa
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Saegusa
authors.forename: Shuji
authors.initials: S
authors.lastname: Abe
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Miura
authors.forename: Shinchi
authors.initials: S
authors.lastname: Yoshiya
mesh_terms: D001172:Arthritis, Rheumatoid / Q000601:surgery*; D001174:Arthrodesis / Q000379:methods*; D001672:Biocompatible Materials / Q000008:administration & dosage*; D002130:Calcium Phosphates / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome; D014955:Wrist Joint
chemical_list: D001672:Biocompatible Materials; D002130:Calcium Phosphates; C485817:beta-tricalcium phosphate