Abstract
Purpose The aim of this study was to assess the effectiveness of Spider™ plates in midcarpal arthrodesis. Materials and methods We studied 11 patients with advanced stage II and III degenerative process of the carpus treated by midcarpal arthrodesis with Spider™ plates. Mean followup was 15 months (7-25 months). Results A significant decrease in pain was seen in all cases. Postoperative flexion was 33° (12°-37°); extension 29° (12°-33°); there was one postoperative radius deviation of 12° (0°–16°) and one ulnar deviation of 17° (0°-20°). After surgery an increase in grasping strength was seen. Arthrodesis healing was seen in all cases, with a small decrease in the carpal height index. Conclusions This surgical technique has allowed us to obtain good clinical and radiological results and early postoperative mobilization.
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