Rheumatoid Arthritis Research Today is a free monthly online journal that collates and summarizes the latest research about Rheumatoid Arthritis, including details on treatment, symptoms, causes, medication.

Total wrist fusion: a study of 115 patients.

Rauhaniemi J, Tiusanen H, Sipola E

Paimio Hospital, University of Turku, Finland Paimio Hospital, Alvar Aallon tie, Preitilä, Finland.

This retrospective study evaluated the outcome of total wrist fusion, predominantly using the Mannerfelt technique, in patients with rheumatoid arthritis. One hundred and fifteen patients were operated on for painful wrist destruction. The mean pain scores were 3.6 (1-4) pre-operatively, 1.9 (1-4) after 6 weeks and 1.3 (1-4) at 1 year. Although the radiological fusion rate was good, only 40% of the patients were very satisfied with the result. Ability to perform activities of daily living was only very much improved in 30% of the patients. Grip strength significantly improved after surgery.

Published 10 March 2005 in J Hand Surg [Br], 30(2): 217-9.
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