Total Joint Arthroplasty of the Distal Radioulnar Joint for Rheumatoid Arthritis

Galvis, Elkin J.; Pessa, Joel E.; Scheker, Luis R.

doi:10.1016/j.jhsa.2014.03.043

Cited by 43 publications

(50 citation statements)

References 37 publications

(27 reference statements)

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“…The PRWE score was reported in seven papers and was significantly improved in three of them, which were all Type 3 implants. 14,26-27 The Mayo Clinic score was reported in six papers and was significantly improved in four of them; 14,17,26,29 two papers reported Type 2 implants and two papers Type 3 implants.…”

Section: Clinical Resultsmentioning

confidence: 97%

“…13-14,17-18,24,26-30 Two of these papers showed a statistical improvement in pain in 80% of cases. 26,27 The other eight papers did show improvement in the VAS for pain, but it was either not statistically significant, or a statistical analysis was not performed.…”

Section: Clinical Resultsmentioning

confidence: 97%

“…The DASH score was reported in 11 papers, and was significantly improved in four of them, 14,22,26-27 all of which were Type 3 implants. The PRWE score was reported in seven papers and was significantly improved in three of them, which were all Type 3 implants.…”

Section: Clinical Resultsmentioning

confidence: 99%

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Distal radioulnar joint arthroplasty with implants: a systematic review

Calcagni

Giesen

2016

EFORT Open Reviews

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A severely painful, dysfunctional, or destroyed distal radio-ulnar joint (DRUJ) can be reconstructed by fusion, interposition of soft tissue, or by arthroplasty using prostheses.The objective of this study was to review the literature on implants and evaluate their effectiveness in terms of pain relief, range of motion and longevity.A search was carried out using protocols and well-defined criteria in PubMed, the Cochrane Library and by screening reference lists. The review was conducted according to PRISMA guidelines.Of the 27 publications reporting on nine different implants, we excluded reports with less than five cases and silastic replacements of the ulna head. Eighteen publications describing a total of five implants were selected for analysis. Nine of the publications were useful for the evaluation of implant longevity. Despite methodological shortcomings in many of the source documents, a summary estimate was possible.It seems that DRUJ implants have good potential to improve function through pain reduction; an improvement was observed in 17 series, although it was significant in only seven series.Instability is not uncommon with ulna head-only implants, but they cause fewer clinical problems and re-interventions than might be expected.The risk of deep infection is small with the available implants.Overall implant survival in papers with at least five years’ follow-up is 95%, with a slightly better longevity of 98% for the constrained implants.Periprosthetic osteolysis/radiolucency is frequently reported. Its causes and consequences are not clarified.Cite this article: Calcagni M, Giesen T. Distal radioulnar joint arthroplasty with implants: a systematic review. EFORT Open Rev 2016;1:191-196. DOI: 10.1302/2058-5241.1.160008.

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Section: Clinical Resultsmentioning

confidence: 97%

Section: Clinical Resultsmentioning

confidence: 97%

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Distal radioulnar joint arthroplasty with implants: a systematic review

Calcagni

Giesen

2016

EFORT Open Reviews

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“…In 17 patients with rheumatoid arthritis, mean age 57 years, Galvis et al 17 showed an improvement in VAS, pronosupination, and DASH and PRWE scores, and high patient satisfaction.…”

Section: Discussionmentioning

confidence: 95%

“…Pain level was assessed with a visual analog scale (VAS) and graded between 0 and 10. 17 Preoperative and postoperative Disabilities of the Arm, Shoulder, and Hand 25 (DASH ) and Patient-Rated Wrist Evaluation 26 (PRWE) scores were calculated. We recorded grip strength using a Jamar Hydraulic Hand Dynamometer (Asimov Engineering Company, Los Angeles, CA) in position 2 (4 cm).…”

Section: Methodsmentioning

confidence: 99%