![]() ![]() No other medical comorbidities were noted. She is a known case of rheumatoid arthritis on regular medication with disease modifying anti rheumatic drugs (DMARDS) for the past 3 years. CASE DESCRIPTIONĪ 56-year-old right-hand-dominant woman presented to us with deformity in the left wrist since 18 months following native treatment to a fall at home. 7, 12 However, the rate of successful fusion and the incidence of complications have varied greatly.Ĭonsent was obtained for the publication of the case details without revealing the identity of the patient. 4– 7 Various fixation devices have also been reported, including K wires or Steinmann pins, 4, 7– 10 staples, 1 screws, 11 and compression plates. Some authors have advocated arthrodesis without a bone graft, 1– 3 whereas others recommended the bone graft. Various techniques of total arthrodesis of the wrist have been described, among which the most commonly used is a combination of bone grafting and internal fixation. Total arthrodesis of the wrist is a reliable and gold standard method of management of end-stage arthritis in rheumatoid wrist resulting in a pain-free and functional hand. ![]() Keywords: Kirschner wire fusion, Rheumatoid arthritis, Rheumatoid wrist, Total wrist arthrodesis, Wrist fusion. Wrist fusion was achieved at 8 weeks, while implants are removed a month later without any complications in the immediate or late postoperative period.Ĭonclusion: Management of end-stage rheumatoid wrist with parallel wires remains a simple, versatile, and reliable method to achieve wrist fusion without any complication due to hardware or the disease by itself. ![]() We present a simple method of rheumatoid wrist fusion in a 56-year-old woman, using parallel Kirschner (K) wires and local ulna graft. J Orth Joint Surg 2020 2(1):38–40.Ĭase description: Nowadays, management of end-stage rheumatoid wrist remains controversial between fusion and arthroplasty. Wrist Arthrodesis in Rheumatoid Arthritis by Parallel K Wires and Ulna Autograft: A Case Report. Govindarajan Hemanthakumar 1, Muthu Sathish 2, Naganathan Muthalagan 3ġ,3Institute of Orthopaedics and Traumatology, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India 2Government Hospital, Velayuthampalayam, Karur, Tamil Nadu, IndiaĬorresponding Author: Muthu Sathish, Government Hospital, Velayuthampalayam, Karur, Tamil Nadu, India, Phone: +91 9600856806, e-mail: to cite this article Hemanthakumar G, Sathish M, Muthalagan N. Wrist Arthrodesis in Rheumatoid Arthritis by Parallel K Wires and Ulna Autograft: A Case Report Journal of Orthopedics and Joint Surgery Volume 2 | Issue 1 | Year 2020 ![]()
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