Functional outcome of spaghetti wrist following surgery- our experience in 26 patients

Abstract

Objective: To analyse the post-surgical functional outcome following spaghetti-wrist injury.Background: Spaghetti wrist’ may be described as laceration injury on the volar aspect of distal part of forearm, in which three or more structures (Tendon, nerve or vessel) were completely transected. Glass cut and knife injuries are the most common mechanism of injuries. Early operative repair followed by proper rehabilitation are needed for successful outcome of spaghetti wrist injury.Materials and Methods: This study was carried in Orthopaedic surgery department, Bangabandhu Sheikh Mujib Medical University (BSMMU) and a private hospital in Dhaka, Bangladesh from January’17 to December’22. 26 patients were enrolled for the study. Post operatively patients were followed up at 2 weeks, 6 weeks, 12 weeks, 6 months, 12 months and 18 months. Final outcome was measured by tendon function, intrinsic, opposition, sensation, deformities, and grip strength. Statistical package for social sciences (SPSS-26) was used to analyse all the data statistically. p