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. 2017 Mar 13;1(2):45-51.
doi: 10.1302/2058-5241.1.000019. eCollection 2016 Feb.

Intercarpal fusions: indications, treatment options and techniques

Patrick Houvet  1
Affiliations

Intercarpal fusions: indications, treatment options and techniques

Patrick Houvet. EFORT Open Rev. .

Abstract

Partial wrist fusion is a useful technique for the treatment of such specific carpal disorders as arthritis, Kienböck's disease, midcarpal instability, scaphoid nonunion, etc.Many techniques have been described by removing arthritic joint surfaces and transfering load, using, for bone fixation, K-wires, screws, staples, and more recently dedicated plates.The goal of this procedure is to maximise wrist motion and strength while minimizing or eliminating pain.The purpose of this article is to discuss the most commonly used combination of intercarpal arthrodeses, to clarify the indications for each fusion, to describe the appropriate surgical technique for each fusion, and to provide an overview of results and current concepts. Cite this article: Houvet, P. Intercarpal fusions: indications, treatment options and techniques. EFORT Open Rev 2016;1:45-51. DOI: 10.1302/2058-5241.1.000019.

Keywords: intercarpal fusions; midcarpal; osteoarthritis; wrist fusion.

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Conflict of interest statement

Conflict of Interest: The author is eligible to receive royalties from the sale of the Xpode® cup from Wright Medical USA and would benefit from the outright sale of the manufacturing rights.

Figures

Fig. 1
Fig. 1
An example of STT fusion.
Fig. 2
Fig. 2
SC fusion and lunarectomy.
Fig. 3
Fig. 3
SLC fusion.
Fig. 4
Fig. 4
SL arthrodesis.
Fig. 5
Fig. 5
LT arthrodesis.
Fig. 6
Fig. 6
4-CF fusion and scaphoidectomy.
Fig. 7
Fig. 7
LC fusion+ scaphoidectomy.
Fig. 8
Fig. 8
RSL fusion.
See this image and copyright information in PMC

References

    1. Watson HK, Ballet FL. The SLAC wrist: scapholunate advanced collapse pattern of degenerative arthritis. J Hand Surg Am 1984;9:358–365. - PubMed
    1. Krakauer JD, Bishop AT, Cooney WP. Surgical treatment of scapholunate advanced collapse. J Hand Surg Am 1994;19:751–759. - PubMed
    1. Linscheid RL, Rettig ME. The treatment of displaced scaphoid nonunion with trapezoidal bone graft. In: Gelberman RH, ed. Masters techniques in orthopaedic surgery: the wrist. New York: Lippincott Williams & Wilkins, 1994:119–131.
    1. Romano S. Non-traumatic osteoarthritis of the wrist: chondrocalcinosis. Chir Main 2003;22:285–292. - PubMed
    1. Saffar P. Chondrocalcinosis of the wrist. J Hand Surg Br 2004;29:486–493. - PubMed

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