Open release of stiff wrist: a medium to long term case series and literature review

Open release of stiff wrist: a medium to long term case series and literature review

Authors

  • Norman Della Rosa Hand Surgery Department, Policlinico of Modena
  • Giulia Colzani a:1:{s:5:"en_US";s:18:"CTO Hospital Turin";}
  • Giovanna Petrella Hand Surgery Department, Policlinico of Modena
  • Vito Duca Orthopaedics and Traumatology Department, Policlinico of Modena
  • Marta Starnoni Plastic and Reconstructive Surgery Department, Policlinico of Modena
  • Antonio Landi Hand Surgery Department, Policlinico of Modena

Keywords:

Wrist open arthrolysis, wrist stiffness, wrist osteosynthesis

Abstract

Background and aim of the work: The authors reported a personal case series of open release of stiff wrists performed after previous internal osteosynthesis of distal radius fractures.

Methods: From a series of 16 patients operated by a single surgeon, 12 were evaluated at a mean 7.1 years follow-up (range 2.25 to 19 years), while 4 were lost at follow-up. The ROM in flexion-extension achieved at the final control was measured with a goniometer and compared to that recorded before surgery. The PRWHE questionnaire was administred at the last follow-up.

Results: The mean flexion improved from 25.5° to 42.3° and the extension from 15.75° to 43°. The mean PRWHE value was 32.9.

Conclusions: Although arthroscopic release is increasingly used in clinical practice for its minimal invasinevess and warranty of fast recovery, open arthrolysis in post-traumatic stiff wrists appears to be an effective procedure, adaptable to all types of stiffness, that lets get good long lasting functional results.

References

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Published

26-09-2022

How to Cite

1.
Della Rosa N, Colzani G, Petrella G, Duca V, Starnoni M, Landi A. Open release of stiff wrist: a medium to long term case series and literature review. Acta Biomed [Internet]. 2022 Sep. 26 [cited 2024 Jul. 13];93(S1):e2022114. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/10055