Abstract：
:This retrospective study compared plate fixation versus pin fixation in 57 patients with rheumatoid arthritis who underwent wrist arthrodesis. Fixation was achieved by using plates in 32 patients and longitudinal pins in 25 patients. Clinical follow-up averaged 29 months (range: 12-57 months) and radiographic follow-up averaged 16 months (range 12-39 months). Union occurred in 97% of the wrists fixed with plates and in 96% of the wrists fixed with pins. There were 6 (19%) complications in the plate group and 7 (28%) complications in the pin group. Three (12%) wrists fixed with pins moved from the immediate postoperative position to a position of relative volar flexion, while radiographs showed no changes in wrist position in the plate group. With both methods, successful arthrodesis stabilized the wrist in a high percentage of patients. Plate fixation offers an excellent alternative method for arthrodesis of the rheumatoid wrist.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Rehak DC,Kasper P,Baratz ME,Hagberg WC,McClain E,Imbriglia JEsubject
Has Abstractpub_date
2000-01-01 00:00:00pages
43-8issue
1eissn
0147-7447issn
1938-2367journal_volume
23pub_type
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