Techniques in Orthopaedics vol:24 issue:1 pages:45-48
Arthrodesis of the wrist is a well-established procedure for a diversity of (chronic) wrist disorders. For some textbooks and authors, it was until recently the ultimate gold standard. The outcome is in general favorable although more publications appear with less optimistic results. More experience with motion preserving procedures like proximal row carpectomy, partial wrist arthrodesis, and arthroplasty has made a full radiocarpometacarpal arthrodesis less popular. An important feature, however, remains the good indication, the correct technique, and a rehabilitation program not only aiming for stability (i.c. fusion) of the wrist but concentrating on finger motion, regaining gripping force, and pain reduction. The availability of solid prebent plates has changed drastically the need for immobilization. In fact, in non-osteoporotic bone splinting is not necessary. Wrist arthrodesis remains a useful procedure and has its place in reconstructive hand surgery, but not without complications and limitations and other procedures should always been considered before deciding to fuse the joint.