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.

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 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

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.

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.

Wrist arthrodesis as a salvage procedure for failed implant arthroplasty

2010 ◽  
Vol 36 (1) ◽  
pp. 29-33 ◽  
Author(s):  
M. Rizzo ◽  
D. B. Ackerman ◽  
R. L. Rodrigues ◽  
R. D. Beckenbaugh
Keyword(s):  
Soft Tissues ◽  
Poor Quality ◽  
Dash Score ◽  
Salvage Procedure ◽  
Wrist Arthrodesis ◽  
Pain Scores ◽  
Total Wrist Arthroplasty ◽  
Patient Reported ◽  
Wrist Arthroplasty

Salvage of failed total wrist arthroplasty by arthrodesis may be difficult because of bone loss and poor quality of bone and soft tissues. We examined the outcomes of wrist arthrodesis for failed total wrist arthroplasty in a retrospective study of 21 wrists in 17 patients. Clinical data, radiographs, patient-reported outcomes and DASH questionnaires were used. Thirteen women and four men had undergone total wrist arthroplasty at an average age of 55 years. The mode of failure was aseptic loosening in 13 wrists. The average time from the index arthroplasty to wrist arthrodesis was 7.6 years. Autograft and/or allograft bone graft was used in all of the wrists. Arthrodesis was achieved in 11 wrists and ten had a nonunion. Six arthrodeses underwent eight revisions for nonunion, with two achieving union. The mean DASH score was 29 in wrists that fused and 36 in those that did not fuse. Pain scores averaged 2.1 in the wrists that fused and 3.3 in the nonunion group. Most patients had clinical improvement.

scholarly journals Comparative outcomes of total wrist arthrodesis for salvage of failed total wrist arthroplasty and primary wrist arthrodesis

2021 ◽  
pp. 175319342110573
Author(s):  
Hero J. A. Zijlker ◽  
Ruben K. Fakkert ◽  
Annechien Beumer ◽  
Cees B. IJsselstein ◽  
Mascha Wessels ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Level Of Evidence ◽  
Upper Extremity Disorders ◽  
Wrist Arthrodesis ◽  
Work Related ◽  
Evaluation Scores ◽  
Total Wrist Arthroplasty ◽  
Hand Evaluation ◽  
Wrist Arthroplasty

A retrospective study compared outcomes of total wrist arthrodesis as a salvage for total wrist arthroplasty versus primary total wrist arthrodesis. Seventy-one wrists were reviewed after a minimum follow-up of 12 months. Thirty-two wrists with failed total wrist arthroplasty were converted to a wrist arthrodesis and 39 wrists received a primary wrist arthrodesis. Seven converted wrist arthrodeses and five primary arthrodeses failed to fuse. Mean patient-rated wrist and hand evaluation scores and work-related questionnaire for upper extremity disorders scores were 43 and 39 for converted total wrist arthrodesis and 38 and 33 for the primary total wrist arthrodesis. Overall, there were 25 complications in 15 patients in the converted wrist arthrodesis group and 21 complications in 16 patients after a primary wrist arthrodesis. The results between the two groups were slightly in favour of patients with a primary wrist arthrodesis. Therefore, we conclude that the timing, primary or conversion, of total wrist arthrodesis could influence patient outcomes. Level of evidence: III

Wrist Arthrodesis for Failed Total Wrist Arthroplasty

2016 ◽  
Vol 41 (6) ◽  
pp. 673-679 ◽  
Author(s):  
Brian D. Adams ◽  
Ben P. Kleinhenz ◽  
Justin J. Guan
Keyword(s):  
Wrist Arthrodesis ◽  
Total Wrist Arthroplasty ◽  
Wrist Arthroplasty
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