Open release of stiff wrist: a medium to long term case series and literature review
Keywords:
Wrist open arthrolysis, wrist stiffness, wrist osteosynthesisAbstract
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
[2] Nelson D, Mitchell MA, Groszewski PG, et al. Wrist range of motion in activities of daily living. In: Schuind F, An KN, Cooney III WP, et al. Advances in the Biomechanics of the Hand and Wrist. New York: Plenum Press; 1994, p. 329-334. Part of the NATO ASI Series (NSSA, vol. 256)
[3] Ryu JY, Cooney WP, Askew LJ, et al. Functional ranges of motion of the wrist joint. J Hand Surg Am 1991;16(3):409-419
[4] Saffar P. Extrinsic and intrinsic causes of radiocarpal stiffness. In: Copeland SA, Gschwend N, Landi A, et al. Joint stiffness of the upper limb. London: Martin Dunitz; 1997, p. 149-167
[5] Kamal RN, Ruch DS. Volar capsular release after distal radius fractures. J Hand Surg Am 2017;42(12):1034.e1-1034.e6
[6] Babazadeh S, Puig de la Bellacasa I, Jamieson R, et al. Anteromedial release for posttraumatic flexion-pronation contracture of the wrist: surgical technique. Tech Hand Up Extrem Surg 2019;23(4):170-175
[7] Luchetti R, Atzei A, Fairplay T. Arthroscopic wrist arthrolysis after wrist fractures. Arthroscopy 2007;23(3):255-260
[8] Luchetti R, Atzei A, Papini Zorli I. Arthroscopic wrist arthrolysis. Chir Main 2006;25S1:S244-S253
[9] Mathoulin C, Massarella M. Therapeutic interest of wrist arthroscopy about 1000 cases. Chir Main 2006;25S1:S145-S160
[10] Del Pinal F, Klausmeyer M, Thams C, et al. Artrhoscopic resection arthroplasty for malunited intra-articular distal radius fractures. J Hand Surg Am 2012;37(12):2447-2455
[11] Brown M, Chung KC. Postburn contractures of the hand. Hand Clin 2017;33(2):317-331
[12] Voche P, Merle M. Arthrolysis of the wrist, indications and technique. Rev Chir Orthop Reparatrice Appar Mot 1993;79(2):135-139
[13] Verhellen R, Bain GI. Arthroscopic capsular release for contracture of the wrist: a new technique. Arthroscopy 2000;16(1):106-110
[14] Fernandez DL. Fractures of the distal radius: operative treatment. Instr Course Lect 1993;42:73-88
[15] MacDermid JC. Development of a scale for patient rating of wrist pain and disability. J Hand Ther 1996;9(2):178-183
[16] Fairplay T, Atzei A, Corradi M, et al. Cross-cultural adaptation and validation of the Italian version of the patient-rated wrist/hand evaluation questionnaire. J Hand Surg Eur Vol 2012;37(9):863-870
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Copyright (c) 2022 Norman Della Rosa, Giulia Colzani, Giovanna Petrella, Vito Duca, Marta Starnoni, Antonio Landi
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