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Long-term functional results of wrist arthrodesis in rheumatoid arthritis.

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Barbier, Olivier [UCL] Saels, P [UCL] Rombouts, Jean-Jacques [UCL] Thonnard, Jean-Louis [UCL]

The purpose of this study was to evaluate the long-term effectiveness of wrist fusion on the relief of pain and also the functional capacities of the upper limbs in patients with rheumatoid arthritis (RA). Eighteen patients were assessed at a mean of 7 years after wrist arthrodesis and a mean of 17 years after the onset of RA. Radiological measurements, pain assessment and impairment rating of the upper limbs were made of the fused and non-fused sides. The average position of arthrodesis was 8 degrees of extension and 9 degrees of ulnar deviation. All patients were pleased with the procedure and had satisfactory pain relief. Impairment ratings did not detect any significant difference in the sensory and motor function of the hand when the fused and non-fused groups were compared. We conclude that in patients with rheumatoid arthritis, wrist arthrodesis is a reliable procedure that provides predictable pain relief and a high degree of satisfaction without additional functional loss in the upper limb.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 1999
Journal information "The Journal of Hand Surgery. British Volume" - Vol. 24, no. 1, p. 27-31 (1999)
Peer reviewed yes
Publisher Sage Publications Ltd.
issn 0266-7681
Publication status Publié
Affiliations UCL - (SLuc) Service de médecine physique et de réadaptation motrice
UCL - MD/CHIR - Département de chirurgie
UCL - MD/IEPR - Institut d'éducation physique et de réadaptation
UCL - (SLuc) Service d'orthopédie et de traumatologie de l'appareil locomoteur
MESH Subject Adult ; Aged ; Arthritis, Rheumatoid - physiopathology - surgery ; Arthrodesis - methods ; Female ; Humans ; Male ; Middle Aged ; Pain Measurement ; Patient Satisfaction ; Range of Motion, Articular ; Statistics, Nonparametric ; Treatment Outcome ; Wrist Joint - physiopathology - surgery
Links
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Bibliographic reference Barbier, Olivier ; Saels, P ; Rombouts, Jean-Jacques ; Thonnard, Jean-Louis. Long-term functional results of wrist arthrodesis in rheumatoid arthritis.. In: The Journal of Hand Surgery. British Volume, Vol. 24, no. 1, p. 27-31 (1999)
Permanent URL http://hdl.handle.net/2078.1/13037