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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.
The wrist is immobilised in a cast for six weeks after the surgery and then physiotherapy is started. 2. Scaphoid excision and 4-corner fusion, which is a procedure consisting of the removal of the scaphoid and fixation of the remaining wrist bones with a plate (called a "spider plate") or wires in order to provide stability.
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]
Posttraumatic arthritis of the wrist, degeneration of the articular surface before and after resection X-rays of a wrist fusion X-rays of pins across a distal radius fracture: Notice the ulnar styloid base fracture, which has not been fixed. This patient has instability of the DRUJ because the TFCC is not in continuity with the ulna.
The hand now has a deformed appearance. The only procedure that can be done is the total wrist fusion, where a plate is inserted on the top of the wrist from the radius to the carpals, effectively freezing all flexion and movement in the wrist. Rotation is still possible as it is controlled by the radius and ulna.
The most common findings are lower limb fusion into a single extremity, deformities of the sacrum and pelvic girdle, absence of external genitalia, absence of anal patency, and lethal renal ...
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.
Jordan Spieth has announced that he will miss the remainder of the golf season to have surgery on a wrist injury first sustained last year.