What is a 4 corner fusion wrist?
Four corner fusion, or partial wrist arthrodesis, is a procedure which involves resection/removal of the scaphoid bone and fixation of the remaining wrist bones with a plate or wires. The procedure is usually performed due to wrist arthritis or due to scaphoid collapse.
How painful is a 4 corner Fusion?
Results: All patients experienced improvement of their pain, function, range of motion and grip strength (p < 0.05). Twenty-three patients (74 %) reported no pain, and eight patients reported mild, occasional pain.
How long does a 4 corner Fusion last?
Results Follow-up was done at a mean of 9 years and 4 months (range 3–19 years). All patients reported a significant improvement in pain relief and ∼50% of flexion extension, although only 40% of radioulnar deviation.
What bones are fused in a 4 corner Fusion?
Four corner fusion (fusion of the capitate, lunate, hamate and trapezium with scaphoid excision)
How successful is wrist fusion?
Typically, wrist fusion surgery can relieve wrist pain. More than 90 percent of procedures result in successful joint fusion.
What is the recovery time for a wrist fusion?
Healing can take up to 12 weeks, so you’ll want some help getting through your daily life. You may need to ask a family member or friend to assist with household tasks. After this type of surgery, you can expect to lose some of your range of motion and feel stiff in your joint.
How long does a wrist fusion take to heal?
Keeping your hand and wrist elevated after surgery is essential to prevent swelling and discomfort. “Total wrist fusion recovery time typically takes at least three months for bone healing and improves through the first six months,” Dr. Dicke said. “The patient adapts well to the loss of motion after the first year.”
How long does wrist Fusion last?
“Once healed, your wrist fusion should last forever and usually doesn’t require additional surgery besides possible hardware (plate) removal,” Dr. Dicke said. After six weeks, your cast is removed and replaced with a removable splint to wear another six to eight weeks.
How long does wrist fusion surgery take?
Wrist fusion surgery is usually done under general anesthesia and takes about 90 minutes. Once you are sedated, an incision will be made down your wrist, avoiding nerves and blood vessels.
Can you drive with a fused wrist?
You are advised not to drive for the first two weeks following the operation. You should be able to grip the steering wheel without pain or distraction, look over your shoulder and perform and emergency stop. You are advised to inform your insurance provider in advance to returning to driving.
What can I expect after wrist fusion?
After surgery, you will wear an elbow-length cast for about six weeks. This holds the wrist still while the ends of the bones fuse together. Your surgeon will want to check your hand within five to seven days. Stitches will be removed after 10 to 14 days, although most of them will have been absorbed by your body.
What can I expect after wrist fusion surgery?
After wrist fusion surgery, you’ll need to wear a cast up to your elbow for up to six weeks. This holds the wrist in place as the bones fuse. About a week after surgery, you’ll have your first checkup. Stitches will be removed about two weeks after surgery (unless dissolving sutures have been used).
What is four-corner wrist fusion?
Four-corner fusion is a reliable limited wrist fusion technique that provides pain relief, grip strength and satisfactory range of motion in patients with degenerative conditions of the wrist. Partial union is more common with Kirschner wire fixation and complications are more common with circular p …
What are the different types of wrist fusion surgery?
Total wrist fusion involves the entire wrist, while partial wrist fusion involves part of the wrist. From there, there are many types of wrist fusion surgery. The most common techniques include: There are two joints in the wrist. The radiocarpal joint connects the radius bone (in the arm) to the first row of carpal bones (in the hand).
What is four-corner fusion of the wrist for non-union scaphoid?
Four-corner fusion of the wrist is an option for management of non-union scaphoid with painful arthritis of the wrist. Various surgical techniques have been devised for four-corner fusion, with inconsistent results.
What is a partial wrist fusion?
Partial fusion reduces pain from the joint while still preserving some motion (as opposed to a total wrist fusion). The procedure involves intercarpal arthrodesis of the capitate, lunate, triquetrum, and hamate bones of the wrist.