Flexible Implant Arthroplasty of the Radiocarpal Joint

Swanson, Alfred B.; Swanson, G de Groot; Maupin, B

doi:10.1097/00003086-198407000-00013

Cited by 103 publications

(36 citation statements)

References 2 publications

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“…However, in the wrist joint, prostheses lacks longevity and histocompatibility. [3][4][5] Total wrist arthroplasty has also been found to be unsuitable for severe joint malformation, chronic subluxion, and collapse of the carpal bone. 6 It is clear that optimum treatments are required for each stage of RA joint destruction.…”

Section: Introductionmentioning

confidence: 99%

Motion analysis of the wrist joints in patients with rheumatoid arthritis

et al. 2007

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We investigated the characteristics of the wrist joint motion in patients with rheumatoid arthritis (RA), using a biaxial flexible goniometer. Wrist joint range of motion and velocity were measured on the dominant hand in RA patients (n = 22) and normal individuals (n = 5). We investigated flexion-extension (FE) task, radial-ulnar deviation (RUD) task, and functional motion tasks, such as writing letters or unscrewing the lid of a jar. In normal individuals, there was cooperative coupling of FE and RUD during wrist movement, and this coupling motion was essential for normal wrist movements. On the other hand, in RA patients, wrist joint range of motion was restricted at various degrees, with reduced joint motion velocity that was severe on RUD. Functional wrist motion tasks indicated circumductive movement with both FE and RUD in normal individuals, whereas the direction of movement was limited in RA patients, and results revealed failure of cooperative coupling of FE and RUD. Our results indicate that disturbed coupling of FE and RUD results in difficulties in the cooperative movements and have great influence on the daily activities in RA wrist joint.

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Section: Introductionmentioning

confidence: 99%

Motion analysis of the wrist joints in patients with rheumatoid arthritis

et al. 2007

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“…Swanson et al reported favorable results in flexible radiocarpal arthroplasties noting no breakage [19]. Although they report a few cases of synovitis, they do not elaborate on its nature.…”

Section: Discussionmentioning

confidence: 99%

Metallosis Following Silicone Metacarpophalangeal Joint Arthroplasties with Grommets: Case Report

Choudhry

Wilson

Stern

2012

Hand (New York, N,Y.)

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“…Insgesamt zeigte sich eine deutliche Schmerzreduktion mit Kraft-und Funktionsgewinn des operierten Handgelenkes. 36 Handgelenke waren schmerzfrei und 16 klagten noch über leichte Belastungsschmerzen. Es verblieben fünf Handgelenke mit Schmerzen bei Alltagsbewegungen.…”

Section: Radiolunate Arthrodesis Of the Rheumatoid Wristmid-and Long-unclassified

Die radioulnäre Teilarthrodese zur Stabilisierung des rheumatischen Handgelenkes

Schill

Lühr²,

Thabe³

2002

Zeitschrift f�r Rheumatologie

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Late Synovectomy of the rheumatoid wrist combined with ulna head resection and dorsal wrist stabilization will not prevent carpal instability and dislocation. Depending on the radiological destruction pattern and the natural course of the wrist according to Simmen, dorsal wrist synovectomy is combined with soft-tissue or osseus stabilization procedures.This article describes the mid- and long-term results of radio-lunate arthrodesis in patients with rheumatoid arthritis. We present a retrospective study of 69 radiolunate arthrodesis performed from 1988 to 1994. Fifty patients with 57 wrists were available for clinical and radiological follow-up. All patients were suffering from rheumatoid arthritis (dominating female). The average length of R.A. illness was 9.6 years. The mean age at operation was 54.4 years. Postoperative results were reviewed with the Clayton score. The radiographic analysis included measurement of the carpal height index and ulnar translation of the carpus. The follow-up period ranged from 4 to 10.8 years (average: 7 years). The postoperative Clayton score averaged 74.2 points, representing 70% good or excellent results. Twelve wrists achieved satisfactory results and five were judged poor. The most benefit was achieved in pain relief and restoration of wrist function and extensor strength. Complete pain relief was achieved in 36 wrists, while 16 reported slight pain from loads. Five patients still complained about pain with daily wrist activity. We noticed a moderate decrease for extension-flexion (-39 degrees ) and for combined ulnar-radial deviation (-10 degrees ). The radiographic analysis proved stabilization of ulnar translocation in most cases. We routinely noticed a moderate radiographic progression according to the Larsen classification (+0.7) with reduction of the carpal height ratio. In conclusion radioulnate arthrodesis proved satisfactory pain relief and maintenance of functional wrist motion. Despite radiographic deterioration, partial wrist arthrodesis restrains ulnar translocation, while stabilization of the rheumatoid wrist is achieved.

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Flexible Implant Arthroplasty of the Radiocarpal Joint

Cited by 103 publications

References 2 publications

Motion analysis of the wrist joints in patients with rheumatoid arthritis

Motion analysis of the wrist joints in patients with rheumatoid arthritis

Metallosis Following Silicone Metacarpophalangeal Joint Arthroplasties with Grommets: Case Report

Die radioulnäre Teilarthrodese zur Stabilisierung des rheumatischen Handgelenkes

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