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Favorable results after total wrist arthroplasty: 65 wrists in 60 patients followed for 5–9 years

BACKGROUND AND PURPOSE: During the past 40 years, several attempts have been made with total wrist arthroplasty to avoid fusion in severely destroyed wrists. The results have often been disappointing. There is only modest clinical documentation due to the small number of patients (especially non-rhe...

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Autores principales: Boeckstyns, Michel E H, Herzberg, Guillaume, Merser, Søren
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Informa Healthcare 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3768044/
https://www.ncbi.nlm.nih.gov/pubmed/23848216
http://dx.doi.org/10.3109/17453674.2013.823588
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author Boeckstyns, Michel E H
Herzberg, Guillaume
Merser, Søren
author_facet Boeckstyns, Michel E H
Herzberg, Guillaume
Merser, Søren
author_sort Boeckstyns, Michel E H
collection PubMed
description BACKGROUND AND PURPOSE: During the past 40 years, several attempts have been made with total wrist arthroplasty to avoid fusion in severely destroyed wrists. The results have often been disappointing. There is only modest clinical documentation due to the small number of patients (especially non-rheumatoid cases) and short follow-up times. Here we report a multicenter series using a third-generation implant with a minimum follow-up time of 5 years. METHODS: In 2012, data were retrieved from a registry of consecutive wrist operations at 7 centers with units specialized in hand surgery, between 2003 and 2007. The wrists had been reviewed annually and analysis was done on the latest follow-up data. RESULTS: 60 patients had been operated (5 bilaterally), 5 wrists had been revised, and 52 were available for follow-up (with the revised cases excluded). The pain scores, QuickDASH scores, ulnar flexion, and supination for the whole group were statistically significantly better at follow-up. There were no statistically significant differences between the rheumatoid and the non-rheumatoid patients except for motion, which was better in the non-rheumatoid group. The motion obtained depended on the preoperative motion. Implant survival was 0.9 at 5–9 years. INTERPRETATION: The clinical results in terms of pain, motion, strength, and function were similar to those in previous reports. The implant survival was 0.9 at 9 years, both in rheumatoid and non-rheumatoid cases, which is an important improvement compared to the earlier generations of total wrist arthroplasty.
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spelling pubmed-37680442013-09-16 Favorable results after total wrist arthroplasty: 65 wrists in 60 patients followed for 5–9 years Boeckstyns, Michel E H Herzberg, Guillaume Merser, Søren Acta Orthop Wrist, Hand BACKGROUND AND PURPOSE: During the past 40 years, several attempts have been made with total wrist arthroplasty to avoid fusion in severely destroyed wrists. The results have often been disappointing. There is only modest clinical documentation due to the small number of patients (especially non-rheumatoid cases) and short follow-up times. Here we report a multicenter series using a third-generation implant with a minimum follow-up time of 5 years. METHODS: In 2012, data were retrieved from a registry of consecutive wrist operations at 7 centers with units specialized in hand surgery, between 2003 and 2007. The wrists had been reviewed annually and analysis was done on the latest follow-up data. RESULTS: 60 patients had been operated (5 bilaterally), 5 wrists had been revised, and 52 were available for follow-up (with the revised cases excluded). The pain scores, QuickDASH scores, ulnar flexion, and supination for the whole group were statistically significantly better at follow-up. There were no statistically significant differences between the rheumatoid and the non-rheumatoid patients except for motion, which was better in the non-rheumatoid group. The motion obtained depended on the preoperative motion. Implant survival was 0.9 at 5–9 years. INTERPRETATION: The clinical results in terms of pain, motion, strength, and function were similar to those in previous reports. The implant survival was 0.9 at 9 years, both in rheumatoid and non-rheumatoid cases, which is an important improvement compared to the earlier generations of total wrist arthroplasty. Informa Healthcare 2013-08 2013-09-02 /pmc/articles/PMC3768044/ /pubmed/23848216 http://dx.doi.org/10.3109/17453674.2013.823588 Text en Copyright: © Nordic Orthopaedic Federation http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the source is credited.
spellingShingle Wrist, Hand
Boeckstyns, Michel E H
Herzberg, Guillaume
Merser, Søren
Favorable results after total wrist arthroplasty: 65 wrists in 60 patients followed for 5–9 years
title Favorable results after total wrist arthroplasty: 65 wrists in 60 patients followed for 5–9 years
title_full Favorable results after total wrist arthroplasty: 65 wrists in 60 patients followed for 5–9 years
title_fullStr Favorable results after total wrist arthroplasty: 65 wrists in 60 patients followed for 5–9 years
title_full_unstemmed Favorable results after total wrist arthroplasty: 65 wrists in 60 patients followed for 5–9 years
title_short Favorable results after total wrist arthroplasty: 65 wrists in 60 patients followed for 5–9 years
title_sort favorable results after total wrist arthroplasty: 65 wrists in 60 patients followed for 5–9 years
topic Wrist, Hand
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3768044/
https://www.ncbi.nlm.nih.gov/pubmed/23848216
http://dx.doi.org/10.3109/17453674.2013.823588
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