Arthrodesis of the Wrist

Arthrodesis of the wrist

“…Liebolt (1938) and Schulitz (1967) advance as the only argument that in slight ulnar abduction flexion force is reduced especially in the first three fingers. Robinson and Kayfetz (1952) state that this position equals 20" ulnar abduction. Mannerfelt (1971) agrees with Shapiro (1968) and with Pahle and Raunio (1960) that in rheumatoid arthritis the metacarpus should definitely not be fixed in radial abduction, since this would lead to secondary ulnar drift.…”

“…This is argued in terms that mostly amount to the same thing: 'the position the hand adopts during rest, because in that position the muscle tones of the flexors and extensors are in balance'; slight dorsiflexion because in that position the grip force is maximal'; 'the position adopted by the wrist in making a strong fist'; 'a position in which it is easy to throw darts' (Bunnell, 1956;Campbell, 1964;Hazewinkel, 1962;Robinson and Kayfetz, 1952;Roux, 1972). 20", see table 1 ).…”

“…Robinson and Kayfetz (1952) after resection of the proximal carpal bones fixed the capitate to the radius with a screw. The alleged advantage was shorter immobilization and accordingly, earlier functional training and rehabilitation.…”