Download 1 Table 1 Outcomes of Selected Studies of Total Wrist Arthrodesis

1
Table 1
Outcomes of Selected Studies of Total Wrist Arthrodesis
Study
Mannerfelt
and
Malmsten1
Millender
and
Nalebuff2
Clendenin
and Green3
No. of
Techniques
Wrist
s
43
Rush pin, staples
70
18
Steinmann pin,
staples or
Kirschner wire
Bone graft,
Millender/Nalebuf
f technique
Plate (57 wrists),
other (33 wrists)
Plate
22
Plate
Barbier et al7
18
Mannerfelt
Carlson and
Simmons8
12
Intramedullary
Christodoulo
u et al9
Clayton10
22
Intramedullary
12
Steinmann pin
De Smet and
Truyen11
36
Screws, graft (24
wrists); plate (12
wrists)
31
Hastings et
al4
Addosooki et
al5
Adey et al6
90
Indicationsa
Patient
Satisfaction
Outcome
Scoresb
Rheumatoid
arthritis
NR
NR
Rheumatoid
arthritis
NR
NR
Rheumatoid
arthritis,
other
Posttraumati
c arthritis
Brachial
plexus palsy
Posttraumati
c arthritis
NR
NR
NR
NR
NR
Rheumatoid
arthritis
Failed total
wrist
arthroplasty
Rheumatoid
arthritis
Rheumatoid
arthritis
Mixed
100% satisfied
DASH score
43.2
Grip strength
79%
DASH score
25 (range, 4–
43)
Medical
Outcomes
Study 36Item Short
Form score
39 (range,
29–55)
Grip strength
100%
NR
68% very
satisfied/satisfie
d
100%
good/excellent
95% completely
satisfied
83% satisfied
NR
NR
Grip strength
63%
DASH score
44 (22)
NR
2
Elherik et
al12
15
Mannerfelt
Rheumatoid
arthritis
93.7% very
pleased
El-Kazzi et
al13
29
External fixation
Field et al14
20
Plate
Posttraumati NR
c arthritis
(12 wrists),
rheumatoid
arthritis (5
wrists), other
(12 wrists)
Posttraumati NR
c arthritis
Fontaine et
al15
6
Rheumatoid
arthritis
5 excellent
1 good
Green and
Henderson16
110
Bilateral
intercalated iliac
crest bone graft,
Rush pins
Plate
Posttraumati
c arthritis,
other
NR
Houshian and
Schrøder17
42
Plate
Howard et
al18
17
Screws (8 wrists),
plate (9 wrists)
Posttraumati 90% completely
c arthritis
satisfied
(29 wrists),
rheumatoid
arthritis (3
wrists), other
(10 wrists)
Rheumatoid NR
arthritis
Kluge et al19
104
ClaytonMannerfelt
Rheumatoid
arthritis
93%
excellent/good
VAS score
2.5 (range, 0–
8)
PRWE scores
45.5 (1–53)
for function,
14.2 (range,
0–34) for pain
Grip strength
75%
DASH score
33
VAS score
2.4
Grip strength
74%
VAS score
1.6 (0.2)
VAS score 0
Grip strength
98%
(dominant),
53%
(nondominant
)
NR
VAS score
1.1 (on 5–
point scale)
VAS score
0.9
3
Kobus and
Turner20
87
Millender/Nalebuf Rheumatoid
f technique
arthritis
95% satisfied
Lautenbach
et al21
34
Mannerfelt
technique
Rheumatoid
arthritis
92.6%
good/excellent
Lee and
Carroll22
46
Intramedullary
NR
Masada et
al23
Murphy et
al24
18
Intramedullary
24
Variable
Rheumatoid
arthritis (25
wrists), other
(21 wrists)
Rheumatoid
arthritis
Rheumatoid
arthritis
Nydick et
al25,c
15
Maestro total
wrist system
(Biomet, Warsaw,
IN), fusion plate
Posttraumati
c arthritis
Pech et al26
29
L-plate
NR
Rauhaniemi
et al27
115
40% very
satisfied
VAS score
1.3 (range, 1–
4)
Rayan and
Young28
Rehak et al29
11
Mannerfelt
technique (113
wrists), staples (2
wrists)
Plate
Rheumatoid
arthritis
Rheumatoid
arthritis
Cerebral
palsy
Rheumatoid
arthritis
88% completely
satisfied
100%
NR
Riches et al30
16
Rheumatoid
arthritis
88% very
pleased
12% fairly
pleased
PRWE scores
44.6 (19.8)
for function,
14.1 (11.4)
for pain
57
Intramedullary
(25 wrists), plate
(32 wrists)
Mannerfelt
technique
Grip strength
57 mm Hg
(range, 16–
100 mm Hg)
Grip strength
21 kPa
(range, 0–46
kPa)
DASH score
63.3 (25.3)
VAS score
1.9 (range, 0–
9)
VAS score
1.1 (on 4–
point scale)
NR
NR
92% very
satisfied/satisfie
d
60%
very/somewhat
satisfied
NR
Grip strength
70%
DASH score
29
VAS score 2
Total PRWE
score 73
NR
NR
4
Rizzo et al31
21
Steinmann pins (9
wrists), Steinmann
pins /staples (1
wrist), plates (8
wrists), staples (2
wrists), external
fixation (1 wrist)
Sauerbier et
al32
60
Plate
Solem et al33
42
Mannerfelt
technique, plate
Rheumatoid NR
arthritis (34
wrists), other
(8 wrists)
Toma et al34
42
Rheumatoid
arthritis
Van Heest
and
Strothman35
Wagner et
al36
41
Mannerfelt
technique (19
wrists), plate (23
wrists)
Plate
26
Rheumatoid
arthritis (15
wrists),
juvenile
rheumatoid
arthritis (1
wrists,
psoriatic
arthritis (1
wrist) after
total wrist
arthroplasty
Posttraumati
c arthritis
(45 wrists),
other (15
wrists)
82%
satisfied/very
satisfied
DASH score
33
VAS score
2.6
NR
Grip strength
50%
DASH score
51.4
VAS score
1.65
Grip strength
19 kg (range,
6–47 kg)
DASH score
38 (range, 2–
75)
VAS score
1.3
NR
98%
excellent/good
Cerebral
palsy
89%
satisfied/highly
satisfied
Plate (12 wrists),
Rheumatoid 92%
staples and
arthritis (20
satisfied/very
Kirschner wires (9 wrists), other satisfied
wrists), Steinmann (6 wrists)
pins (5 wrists)
VAS score
1.8
Grip strength
10.9 (2)
DASH score
21 (7)
Total PRWE
score 29 (9)
DASH = Disabilities of the Arm, Shoulder, and Hand, NR = not reported, PRWE = PatientRated Wrist Evaluation, VAS = visual analog scale
a
Other indications included osteoarthritis, Kienböck disease, and psoriatic arthritis.
b
All outcome scores are given as mean (standard deviation) except as noted.
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c
Study compared total wrist arthrodesis and total wrist arthroplasty. Only the total wrist
arthrodesis patients are included.