Limited and complete fusion of the rheumatoid wrist

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The correct surgical treatment of the rheumatoid wrist has an important impact on the function of the affected band. Surgical decisions should be based on individual deformity and poteustal progression of the disease. A classification of rheumatoid urist involvement is presented that considers the natural progression of the disease and helps to optimze the treatment of these pathents. If a destabilizing form of destruction is found, limited or complete wrist fusion is often the treatment of choice. Among partial fusions, the radiolunate arthrodesis gives consistent, good clinical results. Is preserves some wrist motion with realignment of the carpus and stabilization to prevent further dislocation. In cases of severe destruction and deformity, comples wrist fusion, preferably performed by using large-pin technique, gives pain-free long-term stability of the wrist. The correct surgical treatment of the rheumatoid wrist has an important impact on the function of the affected band. Surgical decisions should be based on individual deformity and poteustal progression of the disease. A classification of rheumatoid urist involvement is presented that considers the natural progression of the disease and helps to optimze the treatment of these pathents. If a destabilizing form of destruction is found, limited or complete wrist fusion is often the treatment of choice. Among partial fusions, the radiolunate arthrodesis gives consistent, good clinical results. Is preserves some wrist motion with realignment of the carpus and stabilization to prevent further dislocation. In cases of severe destruction and deformity, comples wrist fusion, preferably performed by using large-pin technique, gives pain-free long-term stability of the wrist.