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. 2025 Jun;44(3):102135.
doi: 10.1016/j.hansur.2025.102135. Epub 2025 Mar 22.

Total wrist arthrodesis epidemiology and prior surgeries survival

François-Gabriel Midon  1 , Lionel Athlani  2 , Martin Cholley-Roulleau  3 , Colin Piessat  3 , François Dap  3
Affiliations

Total wrist arthrodesis epidemiology and prior surgeries survival

François-Gabriel Midon et al. Hand Surg Rehabil. 2025 Jun.

Abstract

This study investigates the indications for first- and second-line total wrist arthrodesis, focusing on conversion delays following prior wrist surgeries and analyzing complications based on the underlying etiology. We reviewed 121 patients who underwent total wrist arthrodesis over a nine-year period. First-line total arthrodesis was predominantly performed for inflammatory rheumatic conditions or spasticity, while 53% of second-line total arthrodesis were conducted for post-traumatic conditions. The procedures most frequently converted included four-corner arthrodesis (28%), proximal row carpectomy (22%), and radioscapholunate arthrodesis (20%), with mean conversion delays of 3 years, 5 years, and 1.8 years, respectively. Four-corner arthrodesis was the most commonly converted procedure, while radioscapholunate arthrodesis showed the shortest conversion time, primarily due to pseudarthrosis. LEVEL OF EVIDENCE: IV.

Keywords: Epidemiology; Total wrist arthrodesis; Wrist arthrodesis.

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Conflict of interest statement

Declaration of competing interest The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

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