腕关节固定术是治疗腕骨各种疾病的公认选择,比如局部骨关节炎,腕关节不稳定,和Kienböck的病.这是一种非保守的手术,旨在获得桡骨和腕骨近端之间的稳定和一致的界面,通过减少疼痛和恢复握力来恢复手腕功能。这些程序通常产生良好的可预测结果,这些结果随时间保持。然而,所有的腕内关节固定术都会导致腕关节活动范围的丧失。为了优化结果并最大程度地减少并发症,尤其是不连,这个手术可能需要一个学习曲线。一种精确的外科技术来准备骨骼表面,带来足够的植骨,使用可靠的固定是必不可少的。自1960年代末以来,已经描述了几种腕内关节固定术。常用的融合目标是肩峰梯形,肩胛骨,四个角,头状的或头状的头状。较少使用的融合专注于特定的病变,如肩胛骨,肩胛骨,lunotriquetral和三四千嗪。这里,我们建议对文献中描述的各种类型的腕间关节固定术进行系统回顾。在描述了每次关节固定术后,我们指定他们的适应症,手术技术的变化,然后概述结果和并发症。最后,我们讨论这些手术如何影响腕关节生物力学。证据级别:III.
Intercarpal arthrodesis is a well-established option to treat various disorders of the carpus, such as localized osteoarthritis, carpal instability, and Kienböck\'s disease. This is a non-conservative procedure aimed at obtaining a stable and congruent interface between the radius and the proximal carpal row, which restores wrist function by minimizing pain and restoring grip strength. These procedures generally yield good predictable results that are maintained over time. However, all intracarpal arthrodesis procedures cause a loss of wrist range of motion. To optimize outcomes and minimize complications, especially nonunion, this surgery may require a learning curve. A precise surgical technique for preparing the bone surfaces, bringing enough bone graft, and using reliable fixation is essential. Since the late 1960s, several intracarpal arthrodesis procedures have been described. Commonly used fusions target the scaphotrapeziotrapezoid, scaphocapitate, four corners, capitolunate or capitohamatolunate regions. Lesser used fusions focus on specific lesions such as the scapholunate, scapholunocapitate, lunotriquetral and triquetrohamate. Here, we propose a systematic review of the various types of intercarpal arthrodesis procedures described in the literature. After having described each arthrodesis, we specify their indications, the variations of the surgical techniques, and then present an overview of the results and complications. Finally, we discuss how these surgeries affect wrist biomechanics. LEVEL OF EVIDENCE: III.