Complications of 50 consecutive limited wrist fusions by a single surgeon.

Abstract

Fifty limited wrist fusions were performed in 47 patients including 24 scaphoid-trapezium-trapezoid, 12 capitate-lunate-triquetrum-hamate, and 13 other limited wrist fusion combinations. Fusions were performed most commonly for rotary subluxation of the scaphoid and follow-up averaged 13.6 months for the chart review and 44 months for the questionnaire. There were 10 major complications in 8 patients, most of which required secondary surgery. There were 3 partial nonunions but no complete nonunions. Two patients later underwent a total wrist fusion. There were 15 minor complications in 10 patients, most of which were managed nonoperatively. A questionnaire was returned on 28 of the 50 fusions. Pain levels decreased from a preoperative level of 8.2 to a postoperative level of 3.0 (scale of 1-10 with 10 being most severe pain ever). All but 3 patients would have the fusion again.