Rheumatoid Arthritis and Atypical Arthritidies-IC37: Current concepts in the management of wrist arthritis: Wrist fusion

IC37: Current concepts in the management of wrist arthritis: Wrist fusion

Video Transcription

Video Summary

In this video, the speaker discusses the topic of wrist fusion as a treatment option for end-stage solid wrist conditions. They highlight the benefits of wrist fusion, such as pain relief and improved function, but note that it comes at the expense of limited wrist motion. Different plate options for wrist fusion are mentioned, including a pre-contoured 30-degree angulated plate and a more modern locking plate. The speaker also shares a case where a boxer with a chronic wrist injury returned to professional boxing after receiving a straight plate for fusion. The importance of patient education, consultation with a hand therapist, and trial by rigid block splint are emphasized. The speaker also explains their technique for wrist fusion involving carpal tunnel release, inverted T-capsulotomy, and bone grafting. They discuss the importance of removing the third carpometacarpal (CMC) joint if fusion is not performed to prevent plate displacement. Literature review findings and patient expectations are discussed, including high fusion rates, a timeframe for healing, and potential for return to activities like golf. The video concludes with a question about wrist fusion and golfing abilities.

Keywords

wrist fusion

pain relief

limited wrist motion

plate options

patient education