J Reconstr Microsurg 2009; 25(8): 501-505
DOI: 10.1055/s-0029-1234022
© Thieme Medical Publishers

Wrist Arthrodesis with Vascularized Fibular Grafting

Kenji Kawamura1 , Hiroshi Yajima1 , Yasunori Kobata1 , Keiichi Murata1 , Koji Shigematsu1 , Naoki Maegawa1 , Yoshinori Takakura1
  • 1Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan
Further Information

Publication History

Publication Date:
11 August 2009 (online)

ABSTRACT

Six patients underwent wrist arthrodesis using vascularized fibular grafting for treatment of a segmental bone defect across the wrist. Five patients had defects resulting from excision of a giant cell tumor at the distal radius, and one patient had a defect after debridement of a chronic infection. In all cases, bone union was achieved within 3 to 6 months after vascularized fibular grafting without additional procedures. Measurement of postoperative roentgenograms revealed that the average of fixed wrist angle was 13 degrees extension. Postoperatively, average grip strength on the affected side was 59% of that on the unaffected side, and the average range of forearm rotation was 123 degrees. The mean Enneking functional score was 84% at a mean follow-up period of 64 months. There was no recurrence of a tumor or infection. Wrist arthrodesis using vascularized fibular grafting is a useful procedure for the treatment of a segmental bone defect across the wrist.

REFERENCES

Kenji Kawamura, M.D. 

Department of Orthopaedic Surgery, Nara Medical University

840 Shijyo-cho, Kashihara, Nara 634-8522, Japan

Email: kkenji@naramed-u.ac.jp