Clinical evaluation of limited wrist arthrodesis.

DOI
  • Nakamura Ryogo
    Orthopaedic Department, Branch Hospital of Nagoya-University School of Medicine
  • Inoue Goro
    Orthopaedic Department, Branch Hospital of Nagoya-University School of Medicine
  • Imamura Takakazu
    Orthopaedic Department, Branch Hospital of Nagoya-University School of Medicine
  • Horii Emiko
    Orthopaedic Department, Branch Hospital of Nagoya-University School of Medicine
  • Tanaka Yoshimasa
    Orthopaedic Department, Branch Hospital of Nagoya-University School of Medicine
  • Maeda Noboru
    Orthopaedic Department, Branch Hospital of Nagoya-University School of Medicine
  • Miura Takayuki
    Orthopaedic Department, Branch Hospital of Nagoya-University School of Medicine

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Other Title
  • 手関節部分固定術の経験

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Abstract

Limited wrist arthrodesis was carried out in ten cases including Kienböck's disease, malunited intra-articular fracture of the distal radius and fracture-dislocation of the wrist. Scaphoid-Trapezium-Trapezoid fusion for Kienböck's disease resulted in decreased wrist pain and increased grip strength in three of four cases.<br>Three of four cases of radiolunate fusion were improved but by intercarpal fusion for fracture dislocation of the wrist, clinical symptoms were not improved. In Kienböck's disease, the results of STT fusion and radiolunate fusion were inferior to those of radius osteotomy for Kienböck's disease of the same stage. For fracture-dislocation of the wrist, proximal row carpectomy was considered to be a more favorable method than intercarpal fusion.

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