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Four corner fusion, or partial wrist arthrodesis, is a procedure which involves resection/removal of the scaphoid bone and fixation of the remaining wrist bones with a plate or wires. [1] The procedure is usually performed due to wrist arthritis or due to scaphoid collapse.
More advanced stages of SLAC wrist or SLAC wrist that is refractory to non-surgical management may be treated with surgical options including radial styloidectomy, proximal row carpectomy, scaphoid excision and four-corner fusion, wrist fusion, or wrist replacement (arthroplasty). [2]
Distal radius fractures typically occur with the wrist bent back from 60 to 90 degrees. [5] Radial styloid fracture would occur if the wrist is ulnar deviated and vice versa. If the wrist is bent back less, then proximal forearm fracture would occur, but if the bending back is more, then the carpal bones fracture would occur.
-desis : fusion of two parts into one, stabilization-ectomy : surgical removal (see List of -ectomies). The term 'resection' is also used, especially when referring to a tumor.-opsy : looking at-oscopy : viewing of, normally with a scope
A recent advance is the progression to 'wide awake hand surgery.' [8] In a few countries such as Sweden, Finland and Singapore, hand surgery is recognized as a clinical specialty in its own right, [9] with a formal four to six years hand surgery resident training program. Hand surgeons going through these programs are trained in all aspects of ...
Implant that has been used for fixation of a broken wrist. Closed reduction internal fixation (CRIF) is reduction without any open surgery, followed by internal fixation. It appears to be an acceptable alternative in unstable distressed lateral condylar fractures of the humerus in children, but if fracture displacement after closed reduction exceeds 2 mm, open reduction and internal fixation ...
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Arthrodesis, also known as artificial ankylosis or syndesis, is the artificial induction of joint ossification between two bones by surgery.This is done to relieve intractable pain in a joint which cannot be managed by pain medication, splints, or other normally indicated treatments.