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Journal of Hand Surgery (British and European Volume)
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Articles

Total Wrist Fusion: A Study of 115 Patients

J. RAUHANIEMI
H. TIUSANEN
E. SIPOLA

From the Paimio Hospital, University of Turku, Finland Paimio Hospital, Alvar Aallon tie, Preitilä, Finland

Correspondence: H. Tiusanen, Paimio Hospital, Alvar Aallon tie 275, 21540 Preitilä, Finland E-mail: hannu.tiusanen{at}tyks.fi

This retrospective study evaluated the outcome of total wrist fusion, predominantly using the Mannerfelt technique, in patients with rheumatoid arthritis. One hundred and fifteen patients were operated on for painful wrist destruction. The mean pain scores were 3.6 (1–4) pre-operatively, 1.9 (1–4) after 6 weeks and 1.3 (1–4) at 1 year. Although the radiological fusion rate was good, only 40% of the patients were very satisfied with the result. Ability to perform activities of daily living was only very much improved in 30% of the patients. Grip strength significantly improved after surgery.

Key Words: total wrist fusion • Mannerfelt technique in wrist fusion • wrist fusion in rheumatoid arthritis

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 2, 217-219 (2005)
DOI: 10.1016/J.JHSB.2004.11.008
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