Wrist op
Alle deler > BILL > Studier > Hånd abs
Solem H, Berg NJ, Finsen V.
LONG TERM RESULTS OF WRIST ARTHRODESIS. 35 PATIENTS REVIEWED 10 YEARS AFTER SURGERY.
Scand J Plast Reconstr Surg Hand Surg 2006; 40: 175-78
A total of 40 wrists in 35 patients were investigated 10.5 (range 6/15) years after arthrodesis. The most common diagnosiswas rheumatoid disease. There were 21 Mannerfelt, and 21 plate, arthrodeses. The patients were assessed clinically and upto-date radiographs obtained. Two Mannerfelt arthrodeses had failed to fuse. Pain during the last week before review andtotal satisfaction with the operation were excellent in 28 and 30 wrists, respectively. The mean score on the ‘‘Disability ofarm, shoulder and hand’’ (DASH) questionnaire was 38 (range 2/75). Plate arthrodeses gave better results than Mannerfeltarthrodeses for all variables studied. Wrists plated in dorsal extension gave the best scores for function and strength. Weconclude that either method gives good long term results. Although few of the individual differences were statisticallysignificant, we think that fusion with plates, and in particular plates with dorsal extension, is preferable.