Clinical and radiographic study of partial arthrodesis for rheumatoid wrists

Taichi Saitou, Keiichiro Nishida, Kenzo Hashizume, Ryuuichi Nakahara, Ryozo Harada, Takahiro Machida, Masahiro Horita, Toshihumi Ozaki

Research output: Contribution to journalArticle

Abstract

Objectives. To retrospectively investigate the clinical and radiographic results of partial arthrodesis for the wrists with rheumatoid arthritis (RA).Methods. Forty-one wrists with RA were treated by radiolunate (RL) or radiolunotriquetral (RLT) arthrodesis with ulnar head resection. The average follow-up period after surgery was 7.1 years. Preoperative radiographs of all wrists were classified according to Schulthess classification. We performed RL arthrodesis for all Type II (n = 26) and Type III wrists (n = 7), and RLT arthrodesis for Type III wrists (n = 8). Pre- and postoperative pain score (visual analog scale), grip strength, range of motion, and radiographic parameters were statistically compared.Results. Pain scores in all groups were significantly improved at final follow-up (P <0.05). Grip strength increased from 5.9 to 12.4 (kg) significantly in Type II wrists (P <0.01), from 7.2 to 9.1 in Type III wrists after RLT arthrodesis, but decreased from 6.9 to 6.0 in Type III wrists after RL arthrodesis. In all groups, the arc of pronation and supination improved significantly (P <0.05), and all radiographic parameters improved.Conclusions. RL arthrodesis for Type II wrists showed satisfactory clinical results. RLT arthrodesis would be a reliable method in case of unstable wrist joint.

Original languageEnglish
Pages (from-to)57-61
Number of pages5
JournalModern Rheumatology
Volume26
Issue number1
DOIs
Publication statusPublished - Jan 2 2016

Fingerprint

Arthrodesis
Wrist
Hand Strength
Rheumatoid Arthritis
Wrist Joint
Pronation
Supination
Clinical Studies
Postoperative Pain
Articular Range of Motion
Visual Analog Scale
Head
Pain

Keywords

  • Arthrodesis
  • Rheumatoid arthritis
  • Wrist joint

ASJC Scopus subject areas

  • Rheumatology

Cite this

Clinical and radiographic study of partial arthrodesis for rheumatoid wrists. / Saitou, Taichi; Nishida, Keiichiro; Hashizume, Kenzo; Nakahara, Ryuuichi; Harada, Ryozo; Machida, Takahiro; Horita, Masahiro; Ozaki, Toshihumi.

In: Modern Rheumatology, Vol. 26, No. 1, 02.01.2016, p. 57-61.

Research output: Contribution to journalArticle

Saitou, Taichi ; Nishida, Keiichiro ; Hashizume, Kenzo ; Nakahara, Ryuuichi ; Harada, Ryozo ; Machida, Takahiro ; Horita, Masahiro ; Ozaki, Toshihumi. / Clinical and radiographic study of partial arthrodesis for rheumatoid wrists. In: Modern Rheumatology. 2016 ; Vol. 26, No. 1. pp. 57-61.
@article{c8a712acc48b4de189ba4761f1b44135,
title = "Clinical and radiographic study of partial arthrodesis for rheumatoid wrists",
abstract = "Objectives. To retrospectively investigate the clinical and radiographic results of partial arthrodesis for the wrists with rheumatoid arthritis (RA).Methods. Forty-one wrists with RA were treated by radiolunate (RL) or radiolunotriquetral (RLT) arthrodesis with ulnar head resection. The average follow-up period after surgery was 7.1 years. Preoperative radiographs of all wrists were classified according to Schulthess classification. We performed RL arthrodesis for all Type II (n = 26) and Type III wrists (n = 7), and RLT arthrodesis for Type III wrists (n = 8). Pre- and postoperative pain score (visual analog scale), grip strength, range of motion, and radiographic parameters were statistically compared.Results. Pain scores in all groups were significantly improved at final follow-up (P <0.05). Grip strength increased from 5.9 to 12.4 (kg) significantly in Type II wrists (P <0.01), from 7.2 to 9.1 in Type III wrists after RLT arthrodesis, but decreased from 6.9 to 6.0 in Type III wrists after RL arthrodesis. In all groups, the arc of pronation and supination improved significantly (P <0.05), and all radiographic parameters improved.Conclusions. RL arthrodesis for Type II wrists showed satisfactory clinical results. RLT arthrodesis would be a reliable method in case of unstable wrist joint.",
keywords = "Arthrodesis, Rheumatoid arthritis, Wrist joint",
author = "Taichi Saitou and Keiichiro Nishida and Kenzo Hashizume and Ryuuichi Nakahara and Ryozo Harada and Takahiro Machida and Masahiro Horita and Toshihumi Ozaki",
year = "2016",
month = "1",
day = "2",
doi = "10.3109/14397595.2015.1072293",
language = "English",
volume = "26",
pages = "57--61",
journal = "Modern Rheumatology",
issn = "1439-7595",
publisher = "Springer Japan",
number = "1",

}

TY - JOUR

T1 - Clinical and radiographic study of partial arthrodesis for rheumatoid wrists

AU - Saitou, Taichi

AU - Nishida, Keiichiro

AU - Hashizume, Kenzo

AU - Nakahara, Ryuuichi

AU - Harada, Ryozo

AU - Machida, Takahiro

AU - Horita, Masahiro

AU - Ozaki, Toshihumi

PY - 2016/1/2

Y1 - 2016/1/2

N2 - Objectives. To retrospectively investigate the clinical and radiographic results of partial arthrodesis for the wrists with rheumatoid arthritis (RA).Methods. Forty-one wrists with RA were treated by radiolunate (RL) or radiolunotriquetral (RLT) arthrodesis with ulnar head resection. The average follow-up period after surgery was 7.1 years. Preoperative radiographs of all wrists were classified according to Schulthess classification. We performed RL arthrodesis for all Type II (n = 26) and Type III wrists (n = 7), and RLT arthrodesis for Type III wrists (n = 8). Pre- and postoperative pain score (visual analog scale), grip strength, range of motion, and radiographic parameters were statistically compared.Results. Pain scores in all groups were significantly improved at final follow-up (P <0.05). Grip strength increased from 5.9 to 12.4 (kg) significantly in Type II wrists (P <0.01), from 7.2 to 9.1 in Type III wrists after RLT arthrodesis, but decreased from 6.9 to 6.0 in Type III wrists after RL arthrodesis. In all groups, the arc of pronation and supination improved significantly (P <0.05), and all radiographic parameters improved.Conclusions. RL arthrodesis for Type II wrists showed satisfactory clinical results. RLT arthrodesis would be a reliable method in case of unstable wrist joint.

AB - Objectives. To retrospectively investigate the clinical and radiographic results of partial arthrodesis for the wrists with rheumatoid arthritis (RA).Methods. Forty-one wrists with RA were treated by radiolunate (RL) or radiolunotriquetral (RLT) arthrodesis with ulnar head resection. The average follow-up period after surgery was 7.1 years. Preoperative radiographs of all wrists were classified according to Schulthess classification. We performed RL arthrodesis for all Type II (n = 26) and Type III wrists (n = 7), and RLT arthrodesis for Type III wrists (n = 8). Pre- and postoperative pain score (visual analog scale), grip strength, range of motion, and radiographic parameters were statistically compared.Results. Pain scores in all groups were significantly improved at final follow-up (P <0.05). Grip strength increased from 5.9 to 12.4 (kg) significantly in Type II wrists (P <0.01), from 7.2 to 9.1 in Type III wrists after RLT arthrodesis, but decreased from 6.9 to 6.0 in Type III wrists after RL arthrodesis. In all groups, the arc of pronation and supination improved significantly (P <0.05), and all radiographic parameters improved.Conclusions. RL arthrodesis for Type II wrists showed satisfactory clinical results. RLT arthrodesis would be a reliable method in case of unstable wrist joint.

KW - Arthrodesis

KW - Rheumatoid arthritis

KW - Wrist joint

UR - http://www.scopus.com/inward/record.url?scp=84952874721&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84952874721&partnerID=8YFLogxK

U2 - 10.3109/14397595.2015.1072293

DO - 10.3109/14397595.2015.1072293

M3 - Article

VL - 26

SP - 57

EP - 61

JO - Modern Rheumatology

JF - Modern Rheumatology

SN - 1439-7595

IS - 1

ER -