J Wrist Surg 2012; 01(02): 135-140
DOI: 10.1055/s-0032-1330071
Special Focus Section: Motion Preserving Procedures of the Wrist
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Radioscapholunate Fusions

Duncan Thomas McGuire
1   Department of Orthopedics and Trauma, Royal Adelaide Hospital, Adelaide, South Australia, Australia
2   Department of Orthopaedics and Trauma, Modbury Public Hospital, Adelaide, South Australia, Australia
,
Gregory Ian Bain
1   Department of Orthopedics and Trauma, Royal Adelaide Hospital, Adelaide, South Australia, Australia
2   Department of Orthopaedics and Trauma, Modbury Public Hospital, Adelaide, South Australia, Australia
3   Department of Orthopedics and Trauma, University of Adelaide, Adelaide, South Australia, Australia
4   Discipline of Anatomy and Pathology, University of Adelaide, Adelaide, South Australia, Australia
› Author Affiliations
Further Information

Publication History

Publication Date:
19 December 2012 (online)

Abstract

Radiocarpal fusions are performed for a variety of indications, most commonly for debilitating painful arthritis. The goal of a wrist fusion is to fuse the painful, diseased joints and to preserve motion through the healthy joints. Depending on the extent of the disease process, radiocarpal fusions may take the form of radiolunate, radioscapholunate, or total wrist fusions. Surgical techniques and instrumentation have advanced over the last few decades, and consequently the functional outcomes have improved and complications decreased. Techniques for partial carpal fusions have improved and now include distal scaphoid and triquetrum excision, which improves range of motion and fusion rates. In this article we discuss the various surgical techniques and fixation methods available and review the corresponding evidence in the literature. The authors' preferred surgical technique of radioscapholunate fusion with distal scaphoid and triquetrum excision is outlined. New implants and new concepts are also discussed.

 
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