title: Total wrist arthrodesis for septic wrist arthritis and loss of the bony carpus following percutaneous pinning of the fifth carpometacarpal joint: a case report.
abstract: We report on a patient who developed septic wrist arthritis with destruction of the entire carpus due to osteomyelitis following percutaneous pinning of a fifth metacarpal base fracture. Arthrodesis was performed using a 6 cm vascularized iliac bone graft. This case report may sharpen the surgeon's awareness of risks in orthopedic surgeries, even though the procedure seems to be rather simple and the patient is young and seems to be healthy.
authors.affiliation: Department of Trauma Surgery, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. Christian.Deml@tirol-kliniken.at.
authors.forename: C
authors.identifier: http://orcid.org/0000-0002-4786-2471
authors.initials: C
authors.lastname: Deml
authors.affiliation: Department of Trauma Surgery, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
authors.forename: S A
authors.initials: SA
authors.lastname: Euler
authors.affiliation: Department of Trauma Surgery, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
authors.forename: G
authors.initials: G
authors.lastname: Schmidle
authors.affiliation: Department of Trauma Surgery, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
authors.forename: S
authors.initials: S
authors.lastname: Erhart
authors.affiliation: Department of Trauma Surgery, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
authors.forename: M
authors.initials: M
authors.lastname: Gabl
authors.affiliation: Department of Trauma Surgery, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
authors.forename: R
authors.initials: R
authors.lastname: Arora
mesh_terms: D000328:Adult; D001170:Arthritis, Infectious / Q000175:diagnosis / Q000601:surgery*; D001174:Arthrodesis / Q000379:methods*; D001858:Bone Nails; D016025:Bone Transplantation / Q000379:methods; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D052737:Carpometacarpal Joints / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008297:Male; D014955:Wrist Joint / Q000601:surgery*
keywords: Arthrodesis; Septic arthritis; Wrist; Wrist-fusion