Arthrodesis of the wrist with bone autograft and Hoffmann external fixation.
J Hand Surg Eur Vol
; 37(2): 149-54, 2012 Feb.
Article
em En
| MEDLINE
| ID: mdl-22279099
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.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Osteoartrite
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Artrodese
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Articulação do Punho
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Fixadores Externos
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Transplante Ósseo
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article