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The Journal of Bone and Joint Surgery 78:897-902 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Arthrodesis of the Wrist for Post-Traumatic Disorders*

HILL HASTINGS II, M.D.{dagger}, ARNOLD-PETER C. WEISS, M.D.{ddagger}, DELWIN QUENZER, M.D.§, GEOFFREY P. WIEDEMAN, M.D.¶, KENNETH R. HANINGTON, M.D.# and JAMES W. STRICKLAND, M.D.{dagger}, INDIANAPOLIS, INDIANA

Investigation performed at the Indiana Hand Center and the Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis

We retrospectively reviewed the records of eighty-nine consecutive patients (ninety wrists) who had had a total arthrodesis of the wrist for the treatment of a post-traumatic disorder at one center. Fifty-six patients (fifty-seven wrists) had the arthrodesis with plate fixation, and thirty-three patients (thirty-three wrists) had the arthrodesis with a variety of other techniques. The average age of the patients at the time of the arthrodesis was forty-two years, and the dominant wrist was treated in forty-two patients. Fifty-six (98 per cent) of the fifty-seven wrists that had been fixed with a plate had a successful union at an average of 10.3 weeks postoperatively. Twenty-seven (82 per cent) of the thirty-three wrists that had been treated with other methods had a successful union at an average of 12.2 weeks postoperatively. The difference in the rates of union between the wrists fixed with a plate and those treated with alternative techniques was significant (p = 0.009; Fisher exact test). A total of thirty-nine complications were associated with twenty-nine (51 per cent) of the fifty-seven arthrodeses with plate fixation. Sixteen (41 per cent) of the complications (thirteen wrists) resolved with non-operative treatment. Twenty-six (79 per cent) of the thirty-three arthrodeses with alternative methods of fixation were associated with a total of twenty-nine complications. Twenty-three (79 per cent) of those complications (twenty wrists) resolved with non-operative treatment. The difference between the rate of complications associated with the arthrodeses with plate fixation and that associated with the arthrodeses with alternative methods of fixation was significant (p = 0.03; Fisher exact test).


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 J Am Acad Orthop SurgHome page
P. J. L. Jebson and B. D. Adams
Wrist Arthrodesis: Review of Current Techniques
J. Am. Acad. Ortho. Surg., January 1, 2001; 9(1): 53 - 60.
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