title: Arthrodesis of the wrist with bone autograft and Hoffmann external fixation.
abstract: We report a series of 29 cases of wrist arthrodesis using a radiometacarpal half-frame or triangular Hoffmann configuration, bone autograft, and relocation of a retinacular rectangular flap under the extensor tendons to prevent adhesions. No splint or plaster cast has been used. Early active motion of the fingers was encouraged. The average duration of follow-up was 4 years. Bone healing was obtained in 27 patients after 104 days on average. All patients regained full finger movements and rotation of the forearm. Nine patients were reassessed on average 7.2 years after the arthrodesis: the VAS for pain at rest was 2.4/10, the DASH score 33/100, the grip strength 75% of the contralateral side on average.
authors.affiliation: Erasme University Hospital, Université libre de Bruxelles, route de Lennik 808, Brussels, Belgium.
authors.forename: W
authors.initials: W
authors.lastname: El-Kazzi
authors.forename: C
authors.initials: C
authors.lastname: Robert
authors.forename: D
authors.initials: D
authors.lastname: Mouraux
authors.forename: V
authors.initials: V
authors.lastname: Feipel
authors.forename: F
authors.initials: F
authors.lastname: Burny
authors.forename: F
authors.initials: F
authors.lastname: Schuind
mesh_terms: D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods*; D003131:Combined Modality Therapy; D015897:Comorbidity; D016267:External Fixators; D005260:Female; D005500:Follow-Up Studies; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery*; D010147:Pain Measurement; D017060:Patient Satisfaction; D011182:Postoperative Care / Q000379:methods; D016059:Range of Motion, Articular / Q000502:physiology; D014955:Wrist Joint / Q000601:surgery*; D055815:Young Adult