Arthroscopic Arthrodesis for Ulnar Wrist Instability and Arthritis

Chapter

Abstract

Partial wrist fusion provides a reliable surgical option to treat painful instability and arthritis of the wrist. It eliminates abnormal motion and pain generated through the unstable or arthritic segments of the wrist, while to preserve useful motion and function in the remaining part of the wrist. Recent advance in arthroscopic and percutaneous fixation technique enables most fusion procedures to be accomplished through small surgical accesses, hence minimizing surgical trauma and maximizing motion preservation. Through the radiocarpal or midcarpal joint, the corresponding articular surfaces were denuded of cartilage using arthroscopic burr and curette. Carpal bones involved in the fusion process were then transfixed with K wires percutaneously after alignment corrected and confirmed under fluoroscopic control. Autogenous cancellous bone graft or bone substitute was inserted and impacted to the fusion site through cannula under direct arthroscopic view. Final fixation could be by multiple K wires or cannulated screw system. Early mobilization was encouraged. The current experience of arthroscopic partial wrist fusion for ulnar wrist pain is still limited, but the potential for further development is enormous.

Keywords

Bone Graft Bone Substitute Carpal Bone Cannulated Screw Fusion Site 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of Orthopaedics and TraumatolgyChinese University of Hong Kong, Prince of Wales HospitalShatinHong Kong SAR

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