The fascia temporalis is a thin and well-vascularized tissue and, for this reason, its use in reconstructive surgery is versatile. It can be used as an island flap in defects of the head and neck or as a free flap in reconstructions of different anatomic regions. As a "living" spacer in the treatment of wrist @entity3947 , its use has not yet been described. The authors present the transfer of the free fascia temporalis into the wrist as a treatment of wrist @entity3947 in @entity1 affected by severe @entity309 . Four flaps in three @entity1 were performed. Preoperative flexion/extension in the wrist was absent or almost absent and @entity158 , resulting in severely impaired daily activities. After resection of the distal ulna, distal radius, and the proximal surfaces of the proximal row of the carpal bones was performed, the free fascia was used to replace the wrist joint. Postoperative wrist flexion/extension was 45 to 50 degrees on average. In all @entity1 , this procedure allowed painless motion of the wrist, and in all @entity1 , daily activities were improved. A 2-year follow up showed no recurrence of wrist problems and a maintained articular space. In the treatment of wrist @entity3947 , the use of the free fascia temporalis offers a good alternative to arthrodesis, maintaining sufficient function for daily activities.

Free fascia temporalis interpositioning as a treatment for wrist XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity158 :: ('MESH:D010146', 'Disease') :: ['painful'] @entity3947 :: ('MESH:D000844', 'Disease') :: ['ankylosis'] @entity309 :: ('MESH:D001172', 'Disease') :: ['rheumatoid arthritis']
@entity3947 :: (MESH:D000844,Disease) :: ['ankylosis']
