Ulna Autograft for Wrist Arthrodesis: A Novel Approach in Failed Wrist Arthoplasty
Nastaran Sargazi*, M. Philpott, A. Malik, M. Waseem
Identifiers and Pagination:Year: 2017
First Page: 768
Last Page: 776
Publisher ID: TOORTHJ-11-768
Article History:Received Date: 16/04/2017
Revision Received Date: 09/06/2017
Acceptance Date: 18/07/2017
Electronic publication date: 21/08/2017
Collection year: 2017
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Rheumatoid arthritis is a polyarthropathy affecting approximately 1% of the population worldwide. Wrist involvement is observed around 75% of patients, resulting in substantial disability and morbidity. A multidisciplinary approach to management of such patients is undertaken to prevent disease progression, many go on to develop debilitating disease requiring surgical intervention. Total wrist arthroplasty and arthrodesis are the main options available for those with end-stage disease, with arthroplasty preferred due to its ability to preserve a good degree of wrist function. Where complications occur with total wrist arthroplasty, salvage surgery with arthrodesis can be considered, however this requires satisfactory bone stock to enable stable fusion of the joint following arthroplasty. We report our experience of Ulna strut allografts in wrist arthrodesis in the management of failed total wrist arthroplasty.