Journal of Orthopedics and Joint Surgery

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Related articles

VOLUME 2 , ISSUE 1 ( January-June, 2020 ) > List of Articles

CASE REPORT

Wrist Arthrodesis in Rheumatoid Arthritis by Parallel K Wires and Ulna Autograft: A Case Report

Govindarajan Hemanthakumar, Muthu Sathish, Naganathan Muthalagan

Citation Information : Hemanthakumar G, Sathish M, Muthalagan N. Wrist Arthrodesis in Rheumatoid Arthritis by Parallel K Wires and Ulna Autograft: A Case Report. 2020; 2 (1):38-40.

DOI: 10.5005/jp-journals-10079-1011

License: CC BY-NC 4.0

Published Online: 07-08-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Case description: Nowadays, management of end-stage rheumatoid wrist remains controversial between fusion and arthroplasty. We present a simple method of rheumatoid wrist fusion in a 56-year-old woman, using parallel Kirschner (K) wires and local ulna graft. Wrist fusion was achieved at 8 weeks, while implants are removed a month later without any complications in the immediate or late postoperative period. Conclusion: Management of end-stage rheumatoid wrist with parallel wires remains a simple, versatile, and reliable method to achieve wrist fusion without any complication due to hardware or the disease by itself.


PDF Share
  1. Toma CD, Machacek P, Bitzan P, et al. Fusion of the wrist in rheumatoid arthritis. J Bone Joint Surg 2007;89(12):1620–1626. DOI: 10.1302/0301-620X.89B12.18880.
  2. Sargazi N, Philpott M, Malik A, et al. Ulna autograft for wrist arthrodesis: a novel approach in failed wrist arthroplasty. Open Orthop J 2017;11:768–776. DOI: 10.2174/1874325001711010768.
  3. Herren DB, Nagy L, Campbell DA. Osteosynthesis in the hand: current concepts. FESSH Instructional Course 2008. Basel: Karger; 2008; pp 99–106.
  4. Carroll RE, Dick HM. Arthrodesis of the wrist for rheumatoid arthritis. J Bone Joint Surg 1971;53A:1365–1369. DOI: 10.2106/00004623-197153070-00012.
  5. Clayton ML. Surgical treatment at the wrist in rheumatoid arthritis. A review of thirty-seven patients. J Bone Joint Surg Am 1965;47:741–750. DOI: 10.2106/00004623-196547040-00008.
  6. Lenoble E, Ovadia H, Goutallier D. Wrist arthrodesis using an embedded iliac crest bone graft. J Hand Surg 1993;18(5):595–600B. DOI: 10.1016/0266-7681(93)90012-5.
  7. Moneim MS, Pribyl CR, Garst JR. Wrist arthrodesis. Technique and functional evaluation. Clin Orthop 1997(341):23–29.
  8. Lee DH, Carroll RE. Wrist arthrodesis: a combined intramedullary pin and autogenous iliac crest bone graft technique. J Hand Surg 1994;19(5):733–740. DOI: 10.1016/0363-5023(94)90176-7.
  9. Minami A, Kato H, Iwasaki N. Total wrist arthrodesis using bowed crossed K-wires. J Hand Surg 1999;24(4):410–415. DOI: 10.1054/JHSB.1999.0170.
  10. Christodoulou L, Patwardhan MS, Burke FD. Open and closed arthrodesis of the rheumatoid wrist using a modified [Stanley] Steinmann pin. J Hand Surg [Br] 1999;24(6):662–666. DOI: 10.1054/JHSB.1999.0289.
  11. Hinds RM, Melamed E, O'Connell A, et al. Assessment of wrist function after simulated total wrist arthrodesis: a comparison of 6 wrist positions. Hand (N Y) 2016;11(4):464–468. DOI: 10.1177/1558944715626930.
  12. Houshian S, Schrøder HA. Wrist arthrodesis with the AO titanium wrist fusion plate: a consecutive series of 42 cases. J Hand Surg [Br] 2001;26(4):355–359. DOI: 10.1054/jhsb.2001.0600.
  13. Hayden RJ, Jebson PJ. Wrist arthrodesis. Hand Clin 2005;21(4):631–640. DOI: 10.1016/j.hcl.2005.08.004.
  14. Verdecchia N, Johnson J, Baratz M, et al. Neurologic complications in common wrist and hand surgical procedures. Orthop Rev (Pavia) 2018;10(1):7355. DOI: 10.4081/or.2018.7355.
  15. Larsson SE. Compression arthrodesis of the wrist. Clin Orthop 1974;99:146–153. DOI: 10.1097/00003086-197403000-00018.
  16. Cavaliere CM, Chung KC. A systematic review of total wrist arthroplasty compared with total wrist arthrodesis for rheumatoid arthritis. Plast Reconstr Surg 2008;122(3):813–825. DOI: 10.1097/PRS.0b013e318180ece3.
  17. Wei DH, Feldon P. Total wrist arthrodesis: indications and clinical outcomes. J Am Acad Orthop Surg 2017;25(1):3–11. DOI: 10.5435/JAAOS-D-15-00424.
  18. Bhamra J, Bhamra K, Hindocha S, et al. The role of wrist fusion and wrist arthroplasty in rheumatoid arthritis. Curr Rheumatol Rev 2017;13(1):23–28. DOI: 10.2174/1573397111666151026223636.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.