Changes in radiocarpal and intercarpal arthrodesis incidence in Sweden: A 16-year retrospective analysis of 5 189 surgeries.

Radiocarpal and intercarpal arthrodesis are common procedures for managing advanced arthritis, post-traumatic conditions, and failed interventions. This observational study analysed 5,189 cases of arthrodesis registered in the Swedish National Patient Register between 2008 and 2023 to identify surgi...

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Main Authors: Michael Axenhus, Elsa Pihl, Cecilia Mellstrand Navarro, Viktor Schmidt
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0326885
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author Michael Axenhus
Elsa Pihl
Cecilia Mellstrand Navarro
Viktor Schmidt
author_facet Michael Axenhus
Elsa Pihl
Cecilia Mellstrand Navarro
Viktor Schmidt
author_sort Michael Axenhus
collection DOAJ
description Radiocarpal and intercarpal arthrodesis are common procedures for managing advanced arthritis, post-traumatic conditions, and failed interventions. This observational study analysed 5,189 cases of arthrodesis registered in the Swedish National Patient Register between 2008 and 2023 to identify surgical trends and future projections. Of these, 2,434 were radiocarpal and 2,755 intercarpal arthrodesis. Arthrodesis of the radiocarpal and intercarpal joints demonstrate fluctuating trends, regional disparities, and relatively equal rates between men and women. Younger men more often undergo intercarpal arthrodesis, while older women are in majority regarding radiocarpal arthrodesis, potentially reflecting differences in disease presentation, surgical indications, or occupational factors. A slight overall decline in arthrodesis rates suggests a shift towards alternative treatments like denervation or arthroplasty. These findings highlight the need for continued adaptation to evolving surgical techniques and standardised national care programs to optimize patient care and outcomes and mitigate inequalities in health care.
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spelling doaj-art-b10f8d16780d46d293f3f25cf8df73e22025-08-20T03:28:50ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01207e032688510.1371/journal.pone.0326885Changes in radiocarpal and intercarpal arthrodesis incidence in Sweden: A 16-year retrospective analysis of 5 189 surgeries.Michael AxenhusElsa PihlCecilia Mellstrand NavarroViktor SchmidtRadiocarpal and intercarpal arthrodesis are common procedures for managing advanced arthritis, post-traumatic conditions, and failed interventions. This observational study analysed 5,189 cases of arthrodesis registered in the Swedish National Patient Register between 2008 and 2023 to identify surgical trends and future projections. Of these, 2,434 were radiocarpal and 2,755 intercarpal arthrodesis. Arthrodesis of the radiocarpal and intercarpal joints demonstrate fluctuating trends, regional disparities, and relatively equal rates between men and women. Younger men more often undergo intercarpal arthrodesis, while older women are in majority regarding radiocarpal arthrodesis, potentially reflecting differences in disease presentation, surgical indications, or occupational factors. A slight overall decline in arthrodesis rates suggests a shift towards alternative treatments like denervation or arthroplasty. These findings highlight the need for continued adaptation to evolving surgical techniques and standardised national care programs to optimize patient care and outcomes and mitigate inequalities in health care.https://doi.org/10.1371/journal.pone.0326885
spellingShingle Michael Axenhus
Elsa Pihl
Cecilia Mellstrand Navarro
Viktor Schmidt
Changes in radiocarpal and intercarpal arthrodesis incidence in Sweden: A 16-year retrospective analysis of 5 189 surgeries.
PLoS ONE
title Changes in radiocarpal and intercarpal arthrodesis incidence in Sweden: A 16-year retrospective analysis of 5 189 surgeries.
title_full Changes in radiocarpal and intercarpal arthrodesis incidence in Sweden: A 16-year retrospective analysis of 5 189 surgeries.
title_fullStr Changes in radiocarpal and intercarpal arthrodesis incidence in Sweden: A 16-year retrospective analysis of 5 189 surgeries.
title_full_unstemmed Changes in radiocarpal and intercarpal arthrodesis incidence in Sweden: A 16-year retrospective analysis of 5 189 surgeries.
title_short Changes in radiocarpal and intercarpal arthrodesis incidence in Sweden: A 16-year retrospective analysis of 5 189 surgeries.
title_sort changes in radiocarpal and intercarpal arthrodesis incidence in sweden a 16 year retrospective analysis of 5 189 surgeries
url https://doi.org/10.1371/journal.pone.0326885
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AT ceciliamellstrandnavarro changesinradiocarpalandintercarpalarthrodesisincidenceinswedena16yearretrospectiveanalysisof5189surgeries
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