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.
CC BY-NC 4.0
Copyright © 2020; The Author(s).
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.
Fusion of the wrist in rheumatoid arthritis. J Bone Joint Surg 2007;89(12):1620–1626. DOI: 10.1302/0301-620X.89B12.18880.
Ulna autograft for wrist arthrodesis: a novel approach in failed wrist arthroplasty. Open Orthop J 2017;11:768–776. DOI: 10.2174/1874325001711010768.
Osteosynthesis in the hand: current concepts. FESSH Instructional Course 2008. Basel: Karger; 2008; pp 99–106.
Arthrodesis of the wrist for rheumatoid arthritis. J Bone Joint Surg 1971;53A:1365–1369. DOI: 10.2106/00004623-197153070-00012.
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.
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.
Wrist arthrodesis. Technique and functional evaluation. Clin Orthop 1997(341):23–29.
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.
Total wrist arthrodesis using bowed crossed K-wires. J Hand Surg 1999;24(4):410–415. DOI: 10.1054/JHSB.1999.0170.
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.
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.
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.
Wrist arthrodesis. Hand Clin 2005;21(4):631–640. DOI: 10.1016/j.hcl.2005.08.004.
Neurologic complications in common wrist and hand surgical procedures. Orthop Rev (Pavia) 2018;10(1):7355. DOI: 10.4081/or.2018.7355.
Compression arthrodesis of the wrist. Clin Orthop 1974;99:146–153. DOI: 10.1097/00003086-197403000-00018.
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.
Total wrist arthrodesis: indications and clinical outcomes. J Am Acad Orthop Surg 2017;25(1):3–11. DOI: 10.5435/JAAOS-D-15-00424.
The role of wrist fusion and wrist arthroplasty in rheumatoid arthritis. Curr Rheumatol Rev 2017;13(1):23–28. DOI: 10.2174/1573397111666151026223636.