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Arthrodesis of selected small joints of the hand is often indicated; however, in previously
reported series nonunion is not uncommon. There were 171 consecutive arthrodeses of
small joints performed on 134 patients. The operative method employed was essentially
the method described by Littler. Emphasis was placed on the accurate coaptation of
bone surfaces, the use of cancellous bone graft when needed, maintenance of the coaptation
with Kirschner wires, and the need for postoperative immobilization. This technique
resulted in union of 170 out of 171 arthrodeses (a nonunion rate of 0.6%). There were
no infections. There were four delayed unions.
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Article info
Publication history
Accepted:
January 20,
1986
Received:
May 23,
1984
Identification
Copyright
© 1986 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
