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Intercarpal Arthrodesis by Dowel Bone Grafting

From the Department of Orthopaedic Surgery and Trauma, Royal Adelaide Hospital, South Australia

Correspondence: Michael Sandow, FRACS, Department of Orthopaedic Surgery and Trauma, Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000, Australia

Successful intercarpal arthrodesis requires a stable fusion with maintenance of correct alignment and spatial relationship of the carpus. The technique described utilizes a series of tube saws to fashion the arthrodesis bed and then insert a sized iliac crest dowel bone graft with a tight interference fit. This technique has been used in 24 patients over a two-year period in both medial and lateral column intercarpal fusions. All wrists had fused by the tenth post-operative month. The technique is precise, reproducible and technically simple with a high fusion rate and minimal donor site morbidity.

Journal of Hand Surgery (British and European Volume), Vol. 17, No. 4, 463-466 (1992)
DOI: 10.1016/S0266-7681(05)80275-X


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