[Rearthrodesis of the radiolunate joint].
Since 1983, radiolunate arthrodesis has been the gold standard for stabilising the rheumatic wrist. Rearthrodesis of the radiolunate joint has not yet been described. In a prospective study on five radiolunate rearthrodeses with a dorsal mini titanium plate and oblique screw, bone healing was achieved in four. Fatigue fracture of the plate occurred in one case of delayed bone healing. After another rearthrodesis using the same technique, bone healing was achieved. Complete fusion of the wrist can be avoided after failed radiolunate fusion using the described operative technique for rearthrodesis of the radiolunate joint. Preserving some wrist mobility is of high value for these multimorbid patients.
Gaulke
R
R
Unfallchirurgische Klinik der MHH, Carl-Neuberg-Str. 1, 30625 Hannover, Deutschland. gaulke.ralph@mh-hannover.de
Suppelna
G
G
Hildebrand
F
F
Panzica
M
M
Hüfner
T
T
Krettek
C
C
D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000601:surgery*; D001174:Arthrodesis / Q000295:instrumentation* / Q000379:methods*; D001860:Bone Plates; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome; D014955:Wrist Joint / Q000601:surgery*