Total Wrist Arthroplasty—A Systematic Review of the Outcome, and an Introduction of FreeMove—An Approach to Improve TWA

Eschweiler, Jörg; Li, Jianzhang; Quack, Valentin; Rath, Björn; Baroncini, Alice; Hildebrand, Frank; Migliorini, Filippo

doi:10.3390/life12030411

Cited by 4 publications

(5 citation statements)

References 96 publications

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“…After non-surgical treatment options have been exhausted, various treatment approaches for posttraumatic wrist OA aim to both achieve pain relief and preserve as much motion as possible at an acceptable complication rate [ 2 , 22 ]. Historically, pancarpal degenerative wrist OA was generously treated with total wrist arthrodesis, especially in patients still wishing to perform heavy labor [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…As a result, total wrist arthroplasty (TWA) has become an increasingly attractive procedure to achieve the intended goals of pain relief and preserved ROM [ 2 , 22 , 24 ]. Physiological kinematics of the global wrist motion is a complex topic where several models and theories simultaneously exist, although advanced biomechanical analysis techniques are currently used [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

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Total Wrist Arthroplasty for Posttraumatic Wrist Osteoarthritis: A Cohort Study Comparing Three Indications

Holzbauer

Mihalic

Pollak

et al. 2022

Life

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Scapholunate ligament ruptures and scaphoid nonunion with consecutive advanced collapse (SLAC and SNAC wrists) as well as intra-articular distal radius fractures (DRF) are prone to cause posttraumatic wrist osteoarthritis. The aim of this study was to compare the outcomes of these indications for total wrist arthroplasty. We included 13, 11, and 8 patients with an overall mean age of 60 ± 9 years in the SLAC, SNAC, and DRF cohort, respectively. After an average follow-up period of 6 ± 3 years, we found no difference between our groups regarding pain levels and functional scores, although these parameters significantly improved compared to preoperative parameters. Complication and revision rates revealed no significant difference. However, significantly higher extension, arc of range of motion values in the flexion-extension, as well as in radial-ulnar deviation plain were detected in the SLAC compared to the DRF group. Finally, TWA proved to show a beneficial performance in all three investigated indications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Total Wrist Arthroplasty for Posttraumatic Wrist Osteoarthritis: A Cohort Study Comparing Three Indications

Holzbauer

Mihalic

Pollak

et al. 2022

Life

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“…Вопросы ортопедии выживаемости имплантатов уделяется особое внимание, однако отсутствуют данные использования керамических имплантатов [6][7][8][9][10][11][12][13][14][15].…”

Section: оригинальные статьиunclassified

Survival of unconstrained ceramic wrist joint implants

Aleksandrov,

Simonova,

Lukinov

2023

jour

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Introduction Survival of implants is an important indicator of improvement in the patient's quality of life. In foreign literature, the issue of implant survival finds special attention.The aim of the work was to evaluate the efficacy and survival of an unconstrained ceramic wrist joint endoprosthesis.Materials and methods We analysed 83 cases of total wrist arthroplasty with an unconstrained ceramic implant at long-term follow-up. At the Novosibirsk RSITO, total wrist arthroplasty was performed in 81 patients with severe changes in the wrist joint from 2011 to 2021. Two patients underwent arthroplasty on two joints. A retrospective uncontrolled cohort study was conducted which divided the hospitalized patients into three groups according to the etiological cause of the disease. Radiological methods were used to control the state of the implant (radiography in two projections and CT-scans of the wrist joint). For binary indicators, the number, rates and 95 % confidence interval of frequencies were calculated according to the Wilson formula in the groups. Comparison was carried out by Fisher's exact two-sided test. The p-error was corrected using the Benjamini – Hochberg method. Kaplan – Meier curves were constructed for survival analysis. The groups were compared using a generalized chi-square test.Results Each case of repeated surgical intervention was evaluated from the standpoint of selected groups. Depending on the time elapsed from surgery to revision, we calculated the time frame for overall and group survival of the components of the wrist joint endoprosthesis. The causes and scope of surgical revision are presented.Discussion There are no data on the survival of unconstrained ceramic wrist joint implants in the foreign literature. Graphic images according to a proposal for the division of the orthopaedic postoperative period are presented. Conclusions 1. Intermediate conclusions in regard to total arthroplasty with an unconstrained ceramic endoprosthesis of the wrist joint inspire optimism in obtaining a stable positive effect of motion range lost due to the degenerative process in the wrist joint. 2. An 11-year follow-up period demonstrates that the survival rate of an unconstrained ceramic wrist endoprosthesis is 88 %.

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“…(10) Optamos por revisión de la artrodesis con tornillos, pero el paciente seguía presentando dolor después de 12 meses de la última intervención. (11,12) Realizamos la artroplastia de muñeca y el paciente se encuentra asintomático con 1 año de seguimiento.…”

Section: Conclusiónunclassified

La artroplastia de muñeca como solución a la artrosis postraumática o fracaso de artrodesis parcial: Una serie de casos

Vega

Guedes

2022

Revista Iberoamericana de Cirugía de la Mano

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Resumen Introducción Diferentemente de la artrodesis, la artroplastia total de muñeca permite mantener um rango de movimiento funcional en pacientes operados por artrosis de diferentes causas. La evolución de los implantes pemitió llegar a una mayor tasa de éxito, con disminución de las complicaciones como el aflojamiento de componentes. Este estudio tiene como objetivo demostrar los resultados funcionales y las tasas de complicaciones en una serie de casos operados con el implante Motec (Swemac Orthopaedics AB, Linköping, Suecia) por un único cirujano. Materiales y Métodos Se trata de un estudio retrospectivo con 14 pacientes intervenidos de artroplastia total de muñeca con el sistema Motec entre 2017 y 2022 y evaluados pre y posoperatoriamente por la Escala de Muñeca de la Clínica Mayo (Mayo Wrist Score, en inglés) y la Escala Visual Analógica (EVA). Se realizó revisión de historias clínicas en junio de 2022 y análisis estadístico con prueba t pareada considerando significativos valores de p < 0,05. Resultados Fueron operados 13 hombres y 1 mujer, con una edad media de 64,8 (desviación estándar [DE] = 7,5) años, y el tiempo medio de seguimiento fue de 25,1 (DE = 10,9) meses. La puntuación en la Escala de Mayo presentó media preoperatoria de 23,2 (DE = 8,9) y posoperatoria de 82,8 (DE = 7), mientras la EVA preoperatoria tuvo una media de 7,6 (DE = 1,1), y la posoperatoria fue de 1 (DE = 1,2). Las diferencias en los resultados pre y posoperatorios de la Escala de Mayo y la EVA fueron estadísticamente significativas (p < 0,001). Conclusión Como se demuestra en esta serie, las mejoras funcionales y en el dolor fueron importantes, no hubo complicaciones mayores en el período de tiempo evaluado, y la prótesis fue capaz de reemplazar las artrodesis parciales que fallaron. Los pacientes deben ser seguidos durante más tiempo, pero con la certeza de que, en caso de fracaso, aún se puede realizar una artrodesis total de muñeca.

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Total Wrist Arthroplasty—A Systematic Review of the Outcome, and an Introduction of FreeMove—An Approach to Improve TWA

Cited by 4 publications

References 96 publications

Total Wrist Arthroplasty for Posttraumatic Wrist Osteoarthritis: A Cohort Study Comparing Three Indications

Total Wrist Arthroplasty for Posttraumatic Wrist Osteoarthritis: A Cohort Study Comparing Three Indications

Survival of unconstrained ceramic wrist joint implants

La artroplastia de muñeca como solución a la artrosis postraumática o fracaso de artrodesis parcial: Una serie de casos

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