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Fibrous Stabilization of the Rheumatoid Wrist

From the Department of Orthopaedics, Arrowe Park Hospital, Wirral, UK

Correspondence: A. J. M. Simison, MCh. Orth, FRCS Ed. (Orth), Department of Orthopaedics, Arrowe Park Hospital, Upton, Wirral L49 5PE UK.

19 patients (mean age 59.8 years) underwent fibrous stabilization of the wrist for rheumatoid arthritis. 17 patients were reviewed after a mean follow up of 24.5 months (range 13–40 months). There were four excellent, 11 good, and two poor results according to modified Koka and D’Arcy (1989) criteria. The poor results were due to deep infection in one patient and an unbalanced wrist due to ruptured radial extensors in another. The pre-operative range of wrist movement was an important determinant of the frequency of radio-carpal and/or mid-carpal fusion and the final post-operative range of movement.

Journal of Hand Surgery (British and European Volume), Vol. 20, No. 2, 143-145 (1995)
DOI: 10.1016/S0266-7681(05)80040-3


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