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Journal of Bone and Joint Surgery, 1973;55:1026-1034.
© 1973 by The Journal of Bone and Joint Surgery, Inc

Arthrodesis of the Rheumatoid Wrist

AN EVALUATION OF SIXTY PATIENTS AND A DESCRIPTION OF A DIFFERENT SURGICAL TECHNIQUE

LEWIS H. MILLENDER M.D.1 and EDWARD A. NALEBUFF M.D.1

1 From the Department of Orthopaedic Surgery, Robert Breck Brigham Hospital and Harvard Medical School, Boston

In a series of sixty patients (seventy arthrodeses) a technique was developed in which freshened bone surfaces of the carpus and radius were coapted and immobilized by an intramedullary pin, supplemented as needed by staples or a Kirschner wire. Fusion was successful in all but two patients and all patients benefited by increased strength and function in the hand. The advantages of the operation are: short operating time, so that other procedures can be done concomitantly, and a short recuperation time, so that activity, such as walking with crutches, is not lost.


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