Department of Orthopaedics and Traumatology, Paracelsus Medical University, Nuremberg, Germany
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Institute for Hand- and Plastic Surgery, Oldenburg, Germany
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arthrodesis. The aim of arthrodeses is pain reduction in combination with a sufficient global hand function ( 2 ). With distinctive deformation of the joint and/or preexisting instability, there is a tendency to recommend arthrodesis because an unstable
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arthrodesis. The ideal goal for reconstruction of end-stage PIP joint arthritis is a pain-free restoration of sufficient mobility and stability. The index and middle fingers are the pinching partners of the thumb, while the ulnar fingers need mobility in order
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Intercarpal arthrodesis is a well-recognised treatment option and a time-tested procedure. The various partial fusions of the carpus are performed most commonly for arthritis, scaphoid nonunion, Kienböck’s disease, chondrocalcinosis, and carpal
Hand Unit, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
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Faculty of Life Sciences and Medicine, King’s College London, London, UK
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often required, including proximal row carpectomy, total or partial wrist arthrodesis, or other procedures ( 1 ). Partial and total wrist denervations are performed as salvage procedures and can significantly decrease the pain, while maintaining range
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Osteotomy Joint preserving Does not compromise further procedures Limited indications Arthrodesis Good pain relief Allows heavy loading Long immobilization Impact on motion and function High non-union rate May develop STT or MCP osteoarthritis
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patients otherwise proposed for amputation. The authors obtained good to excellent results with a mean contracture correction of the PIP joint of 37º. 51 Amputation and arthrodesis These procedures are options for patients with severe
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(n) Additional surgery Revision arthroplasty (total failures) Meier (2007) 6 24 implants 3 arthrodesis 1 infection 2 dislocations Asymptomatic squeaking (87%) Sweets (2011) 8 31 implants 1 excision of exostosis
Department of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden
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The Swedish National Patient Insurance Company, Stockholm, Sweden
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Department of Orthopedics, Hässleholm-Kristianstad Hospitals, Hässleholm, Sweden
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-pectomy versus four-corner arthrodesis as a treatment for SLAC (scapholunate advanced collapse) wrist . Journal of Hand Surgery 2008 33 118 – 125 . ( https://doi.org/10.1177/1753193408087116 ) 21 Mulford JS Ceulemans LJ Nam D Axelrod TS . Proximal row
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procedures are required, such as skin grafting, and in selected cases even joint arthrodesis and amputation may be preferred ( 10 ). However, even in repeated surgery, clinical improvement can be worthwhile ( 11 , 12 ). However, there is significant risk for
