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Wheeless' Textbook of Orthopaedics

Wrist arthrodesis in paralyzed arms of children


Makin-M J-Bone-Joint-Surg-Am. 1977 Apr; 59(3): 312-6 A new technique for fusion of the wrist in children six years old and older is described. An iliac graft is sandwiched in a coronal split in the radius and carpal bones. Thirty-four children, most of them suffering residual paralysis from poliomyelitis, were treated with this method. It was successful in thirty-two patients, and these children had improved function of the extremity. They were followed to maturity; shortening of the forearm averaged 4.1 centimeters.



Original Text by Clifford R. Wheeless, III, MD.