Arthrodesis of the wrist
Anesthesia type
Airway
Lines and access
Monitors
Primary anesthetic considerations
Preoperative
Intraoperative
Postoperative
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Arthrodesis of the wrist, or wrist fusion, is a surgical technique utilized with other treatment options have failed to control symptoms of advanced wrist arthritis, wrist fractures, or severe ligament trauma. The wrist joint is immobilized with fusions of the radius to the carpal bones.

Overview

Indications

Surgical procedure

Preoperative management

Patient evaluation

System Considerations
Airway
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Labs and studies

Operating room setup

Patient preparation and premedication

Regional and neuraxial techniques

Intraoperative management

Monitoring and access

Induction and airway management

Positioning

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

Pain management

Potential complications

Hematoma formation, Nerve injury (most common dorsal sensory branch of the ulnar nerve and the sensory branch of the radial nerve), Vascular injury, Infection, and Hardware failure [1]

Procedure variants

Variant 1 Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications

References

  1. Jimenez A, Anand P. Wrist Arthrodesis. [Updated 2022 Apr 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK556015/