Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-05-07T15:13:20 RDF description of Dorsal carpal wedge osteotomy in the arthrogrypotic wrist - http://repository.healthpartners.com/individual/document-rn38397 2025-01-31T22:52:05.028-06:00 Hand 40974 23677 Journal of Hand Surgery 38 <p>PURPOSE: To assess the outcome of patients who underwent dorsal carpal wedge osteotomy (DCWO) for the treatment of wrist flexion deformities causing functional limitations resulting from arthrogryposis. <br>METHODS: We performed a retrospective chart review of consecutive patients treated with DCWO between 1996 and 2009 by a single surgeon. Follow-up of greater than 1 year (mean, 45 mo; range, 12-108 mo) was available in 12 patients (20 wrists). RESULTS: All 12 patients' parents reported subjective improvement in position and appearance, and in performing activities of daily living. Wrist extension was significantly increased (mean, 43°), wrist flexion was significantly decreased (mean, 34° from neutral), and there was no significant change in wrist motion arc. We saw significantly greater improvement in wrist extension in children operated on at 7 years of age or greater and in patients treated concomitantly with an extensor carpi ulnaris tendon transfer. Complications included 1 infection. <br>CONCLUSIONS: The excessively flexed wrist in children with arthrogryposis can safely and effectively be improved with DCWO, which in turn facilitates independence in activities of daily living and school-related tasks as reported by parents. For patients older than 7 years of age at the time of surgery, and for patients treated with concomitant extensor carpi ulnaris transfer at the time of DCWO, we found greater recovery of wrist extension. <br>TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.<p> 2 document-rn38397 Dorsal carpal wedge osteotomy in the arthrogrypotic wrist public Surgery 10.1016/j.jhsa.2012.10.034 Retrospective Studies Orthopedics