WRIST ARTHROPLASTY: WHERE DO WE STAND TODAY? A REVIEW OF HISTORIC AND CONTEMPORARY DESIGNS

Hand Surgery ◽  
2014 ◽  
Vol 19 (02) ◽  
pp. 311-322 ◽  
Author(s):  
Ole Reigstad ◽  
Magne Røkkum
Keyword(s):  
Soft Tissue ◽  
Bone Stock ◽  
Midterm Results ◽  
High Demand ◽  
Wrist Arthrodesis ◽  
Bone Fixation ◽  
Bearing Materials ◽  
Fixation Principles ◽  
Wrist Arthroplasty

Earlier generations of wrist arthroplasty were limited to low demand patients. Bone fixation problems, excessive wear, and adverse designs resulting in loosening, imbalance, and dislocation led to the withdrawal of a number of models. Contemporary wrist prostheses aim at replacing wrist arthrodesis in the majority of patients with radiocarpal destruction, including high demand cases. Contraindications are wrist imbalance, insufficient soft tissue, or bone stock and infection. Various designs, fixation principles, bearing materials, and articulations have been employed. Some of the devises (RE-MOTIONTM, Motec®) demonstrate promising short- to midterm results, and calls for cautious optimism.

Technique for Failed Total Wrist Arthroplasty Conversion to a Total Wrist Arthrodesis with Allograft Interposition

2020 ◽  
Author(s):  
Taylor D’Amore ◽  
Asif M. Ilyas
Keyword(s):  
Bone Stock ◽  
Subsequent Increase ◽  
Wrist Arthrodesis ◽  
Interposition Graft ◽  
Total Wrist Arthroplasty ◽  
Cortical Allograft ◽  
Wrist Arthroplasty

AbstractThe frequency of prosthetic total wrist arthroplasty continues to increase. With this increase comes the expected subsequent increase in need for revision or salvage procedures. The technique presented here involves the use of a cortical allograft interposition graft to restore bone stock and length for failed total wrist arthroplasty.

scholarly journals Ulna Autograft for Wrist Arthrodesis: A Novel Approach in Failed Wrist Arthoplasty

2017 ◽  
Vol 11 (1) ◽  
pp. 768-776 ◽  
Author(s):  
Nastaran Sargazi ◽  
M. Philpott ◽  
A. Malik ◽  
M. Waseem
Keyword(s):  
Multidisciplinary Approach ◽  
Surgical Intervention ◽  
Salvage Surgery ◽  
Wrist Arthrodesis ◽  
Novel Approach ◽  
Total Wrist Arthroplasty ◽  
Stage Disease ◽  
Wrist Function ◽  
End Stage ◽  
Wrist Arthroplasty

Rheumatoid arthritis is a polyarthropathy affecting approximately 1% of the population worldwide. Wrist involvement is observed around 75% of patients, resulting in substantial disability and morbidity. A multidisciplinary approach to management of such patients is undertaken to prevent disease progression, many go on to develop debilitating disease requiring surgical intervention. Total wrist arthroplasty and arthrodesis are the main options available for those with end-stage disease, with arthroplasty preferred due to its ability to preserve a good degree of wrist function. Where complications occur with total wrist arthroplasty, salvage surgery with arthrodesis can be considered, however this requires satisfactory bone stock to enable stable fusion of the joint following arthroplasty. We report our experience of Ulna strut allografts in wrist arthrodesis in the management of failed total wrist arthroplasty.

scholarly journals Universal 2 total wrist arthroplasty for the salvage of failed Biaxial total wrist arthroplasty

2019 ◽  
Vol 44 (6) ◽  
pp. 614-619 ◽  
Author(s):  
Hero J. A. Zijlker ◽  
Merel J. Berkhout ◽  
Marco J. P. F. Ritt ◽  
Niels van Leeuwen ◽  
Cees B. IJsselstein
Keyword(s):  
Level Of Evidence ◽  
Wrist Arthrodesis ◽  
Evaluation Scores ◽  
Total Wrist Arthroplasty ◽  
Hand Evaluation ◽  
Wrist Arthroplasty

Universal 2 implants may be an alternative to total wrist arthrodesis for the salvage of failed Biaxial total wrist prostheses. We assessed 40 Universal 2 revision implants retrospectively. Fourteen of these wrists were converted to total wrist arthrodeses, and two wrists received a third total wrist arthroplasty after a mean period of 5.5 years. Twenty-four of the Universal 2 implants that remained in situ after a mean follow-up of 9 years (range 4 to 13 years) were re-examined. Sixteen functioned satisfactorily. Patient-Rated Wrist and Hand Evaluation scores and Quick Disabilities of the Arm, Shoulder and Hand scores were 53 and 47, respectively. Twenty-nine patients would choose the Universal 2 again and would also recommend it to other patients. The survival of the revision implants was 60% at a mean follow-up of 9 years. Level of evidence: IV

Arthroscopic Biceps Tenodesis: Soft Tissue versus Bone Fixation

2014 ◽  
Vol 32 (2) ◽  
pp. 133
Author(s):  
Young-Kyu Kim ◽  
Kyu-Hak Jung ◽  
Dong-Hyun Kim
Keyword(s):  
Soft Tissue ◽  
Biceps Tenodesis ◽  
Bone Fixation

Wrist Arthroplasty to Facilitate Communication in the Hearing Impaired

2020 ◽  
Vol 25 (03) ◽  
pp. 384-387
Author(s):  
Brahman Sivakumar ◽  
Joshua Piercey ◽  
David Graham
Keyword(s):  
Rheumatoid Arthritis ◽  
Sign Language ◽  
Gold Standard ◽  
Operative Management ◽  
Hearing Impaired ◽  
Wrist Arthrodesis ◽  
First Case ◽  
Total Wrist Arthroplasty ◽  
Non Operative Management ◽  
Wrist Arthroplasty

Management of wrist arthritis may involve many options, including motion preserving and motion sacrificing procedures. Total wrist arthrodesis is often considered the gold standard for severe wrist arthritis, failing non-operative management. We present the first case to our knowledge of total wrist arthroplasty (TWA) for patient with rheumatoid arthritis who is also deaf, requiring sign language for communication with excellent results.

Total elbow arthroplasty in the face of significant bone stock or soft tissue losses

1986 ◽  
Vol 1 (2) ◽  
pp. 71-81 ◽  
Author(s):  
Harry E. Figgie ◽  
Allan E. Inglis ◽  
Christopher Mow
Keyword(s):  
Soft Tissue ◽  
Total Elbow Arthroplasty ◽  
Bone Stock ◽  
Elbow Arthroplasty ◽  
The Face

MAINTAINING WRIST FUNCTION IN SEVERE RHEUMATOID ARTHRITIS: A CASE STUDY OF REVISION SWANSON WRIST ARTHROPLASTY STAGED VIA A WRIST FUSION IN RHEUMATOID ARTHRITIS

Hand Surgery ◽  
2002 ◽  
Vol 07 (02) ◽  
pp. 183-185 ◽  
Author(s):  
J. N. Mutimer ◽  
G. E. B. Giddins
Keyword(s):  
Rheumatoid Arthritis ◽  
Bone Loss ◽  
Bone Stock ◽  
Severe Rheumatoid Arthritis ◽  
Rheumatoid Patient ◽  
Total Wrist Arthroplasty ◽  
Wrist Fusion ◽  
Wrist Function ◽  
Wrist Arthroplasty

We present a case of revision Swanson wrist arthroplasty staged via a wrist fusion in a patient with rheumatoid arthritis. Due to extensive bone loss in the rheumatoid patient, it may not be possible initially to revise a wrist arthroplasty; however after fusion with a bone graft to regain bone stock we have demonstrated that this is possible. It may even be possible to convert such a fusion to a total wrist arthroplasty.

scholarly journals Treatment of open tibial shaft fracture with soft tissue and bone defect caused by aircraft bomb: Case report

2010 ◽  
Vol 138 (7-8) ◽  
pp. 510-514 ◽  
Author(s):  
Zoran Golubovic ◽  
Goran Vidic ◽  
Srbobran Trenkic ◽  
Zoran Vukasinovic ◽  
Aleksandar Lesic ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Tibial Fracture ◽  
Healing Process ◽  
Shaft Fracture ◽  
Bone Defects ◽  
Plaster Cast ◽  
Tibial Shaft Fracture ◽  
Wound Debridement ◽  
Bone Fixation ◽  
Tissue Defects

Introduction. Aircraft bombs can cause severe orthopaedic injuries. Tibia shaft fractures caused by aircraft bombs are mostly comminuted and followed by bone defects, which makes the healing process extremely difficult and prone to numerous complications. The goal of this paper is to present the method of treatment and the end results of treatment of a serious open tibial fracture with soft and bone tissue defects resulting from aircraft bomb shrapnel wounds. Case Outline. A 26-year-old patient presented with a tibial fracture as the result of a cluster bomb shrapnel wound. He was treated applying the method of external bone fixation done two days after wounding, as well as of early coverage of the lower leg soft tissue defects done on the tenth day after the external fixation of the fracture. The external fixator was removed after five months, whereas the treatment was continued by means of functional plaster cast for another two months. The final functional result was good. Conclusion. Radical wound debridement, external bone fixation of the fracture, and early reconstruction of any soft tissue and bone defects are the main elements of the treatment of serious fractures.

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