Long-Term Results of Silicone Wrist Arthroplasty in Patients With Rheumatoid Arthritis

Kistler, Urs; Weiss, Arnold‐Peter C.; Simmen, Beat R.; Herren, Daniel

doi:10.1016/j.jhsa.2005.07.009

Cited by 60 publications

(23 citation statements)

References 22 publications

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“…Long-term follow-up data have shown a high incidence of implant failure, 30 -33 and issues regarding reactive synovitis and secondary osteolysis have been reported. 34,35 Although a new generation of articulated wrists were designed to improve on previous implants and provide an enhanced arc of motion, they suffered from instability problems. 12 Through innovative research and by learning from past mistakes, total wrist designs have since become increasingly sophisticated, with attempts made to optimize component fixation and their articulating geometry.…”

Section: Total Wrist Arthrodesismentioning

confidence: 99%

Osteoarthritis of the Wrist

Weiss

Rodner

2007

The Journal of Hand Surgery

161

115

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Section: Total Wrist Arthrodesismentioning

confidence: 99%

Osteoarthritis of the Wrist

Weiss

Rodner

2007

The Journal of Hand Surgery

161

115

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“…It manifests clinically as the re-occurrence of pain, stiffness and swelling after the initial relief of symptoms. Kistler et al [8] report a revision rate of up to 50%. They recommend the use of total wrist arthroplasty as an alternative to wrist fusion only for low demand patients with good bone stock and restricted motion.…”

Section: Total Wrist Arthroplastymentioning

confidence: 98%

A Literature Review Comparing the Results of Wrist Arthroplasty and Wrist Fusion in Rheumatoid Patients

Walker¹,

Pengas²,

Khan³

2016

MOJOR

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Rheumatoid arthritis is a chronic inflammatory disease affecting the synovium leading to joint damage and bone destruction. Within two years of diagnosis more than half of patients will have wrist pain and more than 90% will have wrist disease by 10 years. The surgical management of the advanced rheumatoid wrist is controversial. A Medline search was performed using the key words 'rheumatoid arthritis and wrist arthroplasty' 'rheumatoid arthritis and wrist arthrodesis' 'rheumatoid arthritis and wrist fusion'. Total wrist arthroplasty is a motion preserving alternative which is slowly increasing in popularity. It is however a complex, technically demanding procedure with a high rate of complications. Wrist arthrodesis is currently the most widely used operative management for end stage rheumatoid arthritis. It provides pain relief and stability but there is a compromise of a loss of movement. We conclude that patients with end stage rheumatoid arthritis with good bone stock may have total wrist arthroplasty or wrist arthrodesis. Total wrist arthroplasty should be with the latest generation implants. Those patients with poor bone stock or soft tissues should have wrist arthrodesis. Citation

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“…Die Indikation soll bei Patienten mit einer rheumatischen Erkrankung bei fortgeschrittener Destruktion bestehen [Stadium Larsen, Daale und Eek (LDE) IV und V; [1,2,3,5,11,24,25]]. …”

Section: Endoprothetik Des Handgelenksunclassified