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Functional Outcome of Spaghetti Wrist Following Surgery-Our Experience In 26 Patients

Sk. Murad Ahmed1*, Krishna Priya Das1, Md.Mamunur Rashid2, Ayez Mahbub3,Md. Moniruzzaman1, Nadia Zebin Khan4

Background: Spaghetti wrist’ is defined as laceration injury involving the volar aspect of distal forearm, in which three or more structures were completely transected. The most common injury mechanisms are glass and knife injuries. Early surgical repair and rehabilitation are recommended in all studies for spaghetti wrist.

Materials and methods: This prospective interventional study was conducted in the department of orthopaedic surgery, Bangabandhu Sheikh Mujib Medical University and a private hospital in Dhaka, Bangladesh from January’17 to December’22. A total number of 26 patients were included in the study. Post operatively follow up was given at 2 weeks, 6 weeks, 12 weeks, 6, 12 and 18 months. Final outcome was measured by tendon function, opposition, intrinsic, deformities, sensation and grip strength.

Results: Mean age of the study population was 29.30 ± 9.1 years. Out of 26 patients 12 (46.2%) were glass factory worker. 18 (69.2%) patients had glass cut injury. Out of 26 patients 19 (73.1%) patients had associated nerve injury. Final follow-up satisfactory (Excellent+Good) outcome was found in 22 (84.6%) patients and unsatisfactory (Fair+Poor) outcome was found in 4 (15.4%) patients. Conclusion: Early primary repair and good rehabilitation are of great importance for successful outcome of spaghetti wrist injury.