Using finite element method in preoperative planning for wrist surgery

The wrist has a wide variation of 'normal' anatomy, which may explain the discrepancy seen in success rates of some clinical procedures between patients with similar symptoms. Previously published finite element models of the wrist joint have been based on a single geometry and/or single loading condition which does not give a full representation of the spectrum of normal wrists. In this study, three finite element models of the wrist were created and used subject specific boundary conditions thus building a set of models which can be identified as a part of a larger population. Systematic variations in anatomy and bone position were studied and the effect they have on the general load transfer through the normal wrist joint. That information can prove to be important for future surgical planning on the wrist joint.