Jnl Wrist Surg 2019; 08(01): 084-088
DOI: 10.1055/s-0038-1669918
Procedure
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Modified Surgical Technique for Minimally Invasive Arthroscopic Total Wrist Fusion

Shahram Nazerani
1  Department of Surgery, Mehr General Hospital, Tehran, Iran
,
Tina Nazerani
2  Faculty of Medicine, Karl Josef Medical University, Graz, Austria
,
Alireza Molayem
1  Department of Surgery, Mehr General Hospital, Tehran, Iran
,
Mohammad Reza Keramati
3  Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran
› Author Affiliations
Funding None.
Further Information

Publication History

30 April 2018

30 July 2018

Publication Date:
18 September 2018 (online)

Abstract

Background Arthroscopic total wrist arthrodesis is a procedure with minimal violation of extensor compartments and less scar formation, compared with open wrist arthrodesis. In this paper, we would like to present our experience with a modified surgical technique for arthroscopic total wrist arthrodesis.

Description of Technique After an arthroscopic cartilage removal through radiocarpal and midcarpal portals, the operation is continued under fluoroscopic control. In this technique, four wires are inserted separately in four various directions (as described in the paper), followed by insertion of self-tapping cannulated screw, under fluoroscopic control.

Patients and Methods In this prospective study, a total of four patients underwent arthroscopic total wrist arthrodesis using our surgical technique within a period of 2 years. All four patients were followed for a minimum of 3 months for possible complications and functional outcome.

Results The results were satisfactory, and no complication was observed. All the patients had complete union after 12 weeks, and the fusion was radiographically complete in all cases by 12 weeks. All patients were happy with their functional outcomes.

Conclusion Using the described modified arthroscopic technique, we did four total wrist arthrodeses with minimal scar, no complication and acceptable functional results.

Authors' Contributions

All authors have contributed equally in all parts of this research.


Note

This study was conducted in Mehr General Hospital, Tehran, Iran.