OUTCOME OF DYNAMIC COMPRESSION PLATE WITH DORSAL RADIAL SLIDING GRAFT TECHNIQUE FOR WRIST ARTHRODESIS IN BRACHIAL PLEXUS INJURY PATIENTS

Flavio César Ivalde, José Marazita-Valverde, Danilo Bataglia

Abstract


We have meticulously read the article titled "Outcome of dynamic compression plate with dorsal radial sliding graft technique for wrist arthrodesis in brachial plexus injury patients". We would like to comment on some aspects of the study and set forth our experience in wrist arthrodesis performed to improve functional outcome in the scenarios cited above. This manuscript aims to highlight the following. First, to the best of our knowledge, there exists a paucity of comparative studies on the use of a reamer/iliac crest /radial sliding graft for total wrist arthrodesis, evaluating fusion times and complications. Second, we propose adult traumatic brachial plexus injury involves injury -particularly of the C7-C8-T1 root injury- as an indication for metacarpophalangeal arthrodesis along with wrist fusion to provide stability of thumb grasp. Third, there is no consensus on the selection criteria for metacarpophalangeal arthrodesis in patients with plexopathy, in order to improve the stability of the hand and thereby improving the activities of daily life. Long-term functional outcome follow-up and patient satisfaction over an extended time frame may also be valuable for future studies to consider.

Keywords: Brachial plexus Palsy; bone deformity; Humeral retroversion; Surgical Planning


References


Jan AU, Cheema TA, Ahmad S, Shafiq M, Ullah F. Original article outcome of dynamic compression plate with dorsal radial sliding graft technique for wrist arthrodesis in brachial plexus injury patients. J Ayub Med Coll Abbottabad 2019;31(2):141–5.

Socolovsky M, Di Masi G, Battaglia D. Use of long autologous nerve grafts in brachial plexus reconstruction: Factors that affect the outcome. Acta Neurochir (Wien) 2011;153(11):2231–40.

Jennett RJ, Tarby TJ. Disuse osteoporosis as evidence of brachial plexus palsy due to intrauterine fetal maladaptation. Am J Obstet Gynecol 2001;185(1):236–7.

Cahill AM, Iorio JA, Cahill PJ. Autologous bone graft harvesting : A review of grafts and surgical techniques. Musculoskelet Surg 2015;99(3):171–8.

Cuttica DJ, DeVries JG, Hyer CF. Autogenous bone graft harvest using reamer irrigator aspirator (RIA) Technique for tibiotalocalcaneal arthrodesis. J Foot Ankle Surg 2010;49(6):571–4.

Terzis JK, Barmpitsioti A. Wrist fusion in posttraumatic brachial plexus palsy. Plast Reconstr Surg 2009;124(6):2027–39.

McGowan S, Deisher M, Matullo KS. Functional fusion angle for thumb interphalangeal joint arthrodesis. Hand (N Y) 2016;11(1):59–64.

Schmidt CC, Zimmer SM, Boles SD. Arthrodesis of the thumb metacarpophalangeal joint using a cannulated screw and threaded washer. J Hand Surg Am 2004;29(6):1044–50.

Kuroiwa T, Nimura A, Suzuki S, Sasaki T, Okawa A, Fujita K. Measurement of thumb pronation and palmar abduction angles with a small motion sensor: A comparison with Kapandji scores. J Hand Surg Eur Vol 2019;44(1):728–33.

Swaisi M, Igeta Y, Pavalache R, Vernet P, Facca S, Hidalgo Diaz JJ, et al. Arthrodesis of the thumb metacarpophalangeal joint: Conventional open technique with a locking plate or compression pins versus minimally invasive technique with compression pins or screws. Hand Surg Rehabil 2019;38(3):174–8.

Day CS, Ramirez MA. Thumb metacarpophalangeal arthritis: Arthroplasty or fusion? Hand Clin 2006;22(2):211–20.

McKee D, Domingo-Johnson EL. Novel use of joint replacement in a thumb interphalangeal joint. Case Rep Orthop 2019;2019:2603098.


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