Joint Preservation of the Wrist Using Articulated Distraction Arthroplasty: A Case Report of a Novel TechniqueReportar como inadecuado




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Case Reports in Orthopedics - Volume 2015 2015, Article ID 812807, 5 pages -

Case Report

University of British Columbia, West Mall, Vancouver, BC, Canada V6T 1Z4

Dawson Creek & District Hospital, 11100-13th Street, Dawson Creek, BC, Canada V1G 3W8

Received 3 January 2015; Accepted 4 February 2015

Academic Editor: Werner Kolb

Copyright © 2015 Matt D. A. Fletcher. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Distraction arthroplasty of the ankle, elbow, and hip has become widely accepted and used within the orthopaedic community with excellent initial results which appear sustained. To date it has not been applied to the wrist in the same manner. A novel technique, drawn upon past success of articulated ankle distraction and static wrist distraction, was devised and evaluated by application of articulated wrist distraction performed over a 12-week period in a patient with poor functional outcome following limited wrist fusion. Posttreatment results showed improvement in range of motion 100-degree arc, subjective pain, and functional outcome measures DASH 21.7, Mayo Wrist Score 80 comparable or better than either limited wrist fusion or proximal row carpectomy. Articulated wrist distraction initially appears to be a promising therapeutic option for the management of the stiff and painful wrist to maintain maximal function for which formal wrist arthrodesis may be the only alternative.





Autor: Matt D. A. Fletcher

Fuente: https://www.hindawi.com/



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