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Journal of Hand Surgery (British and European Volume)
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Articles

One Thousand Intercarpal Arthrodeses

H. K. WATSON
J. WEINZWEIG
P. M. GUIDERA
J. ZEPPIERI
D. ASHMEAD

From the Connecticut Combined Hand Service, Hartford and New Haven, Connecticut and Worcester, Massachusetts, USA

Correspondence: H. K. Watson MD, 85 Seymour Street, Suite 186, Hartford, CT 06106, USA.

Limited wrist arthrodesis is a useful method for treating specific carpal disorders that maximizes residual wrist motion and strength while eliminating pain. Selective fusion of specific carpal units can be used in degenerative arthritis, rotary subluxation of the scaphoid, midcarpal instability, scaphoid nonunion, Kienböck’s disease, and congenital synchondrosis or partial fusion of specific carpal joints. This report presents our experience with more than 1000 limited wrist arthrodeses, and provides a review of the indications and technical considerations for specific intercarpal fusions, and subsequent results. To date this is the largest series of intercarpal arthrodeses and the study has demonstrated that these techniques are reliable and effective in dealing with a wide range of wrist disorders.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 3, 307-315 (1999)
DOI: 10.1054/JHSB.1999.0066
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