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

Abstract

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.

A systematic review and network meta-analysis of outcomes after total wrist arthroplasty in inflammatory and non-inflammatory arthritis

“…The search yielded 1858 results. After screening and full-text review, 12 studies met the inclusion criteria (Figure 1) (Badge et al, 2016;Boeckstyns et al, 2013;Brinkhorst et al, 2018;Ferreres et al, 2011;Harlingen et al, 2011;Holm-Glad et al, 2022;Holzbauer et al, 2022;Honecker et al, 2019;Matsui et al, 2020;Reigstad et al, 2012Reigstad et al, , 2017Rossello et al, 2022). Reigstad et al (2012Reigstad et al ( , 2017 presented their initial results in 2012, followed by a follow-up report in 2017; only data from the 2017 analysis were included in our analysis.…”

“…The search yielded 1858 results. After screening and full-text review, 12 studies met the inclusion criteria (Figure 1) (Badge et al., 2016; Boeckstyns et al., 2013; Brinkhorst et al., 2018; Ferreres et al., 2011; Harlingen et al., 2011; Holm-Glad et al., 2022; Holzbauer et al., 2022; Honecker et al., 2019; Matsui et al., 2020; Reigstad et al., 2012, 2017; Rossello et al., 2022). Reigstad et al.…”

“…In total, 10 studies reported DASH or Quick-DASH scores (Badge et al., 2016; Boeckstyns et al., 2013; Brinkhorst et al., 2018; Harlingen et al., 2011; Holm-Glad et al., 2022; Holzbauer et al., 2022; Honecker et al., 2019; Matsui et al., 2020; Reigstad et al., 2012, 2017). TWA was found to significantly improve DASH or Quick-DASH scores for both indications compared to preoperative baselines.…”

Artrodesis Total de la Muñeca con Placa Dorsal Bloqueada de Bajo Perfil y Ángulo Variable: Tasa de Consolidación y Complicaciones de 85 casos Consecutivos

“…It has rounded edges and an anatomically curved "low profile" minimizing the potential for soft tissue irritation or tendon friction. Due to the lack of availability of implants in our hospital for arthroplasty (which presents promising results and allows the maintenance of a greater range of motion in the wrist), 15,16 arthrodesis with a low profile plate is our main option for treating wrist arthrosis.…”

“…Tiene bordes redondeados y un "perfil bajo" anatómicamente curvado que minimiza la posibilidad de irritación de los tejidos blandos o fricción de los tendones. Debido a la falta de disponibilidad de implantes en nuestro hospital para la artroplastia (que presenta resultados prometedores y permite mantener un mayor rango de movimiento en la muñeca), 15,16 la artrodesis con placa de bajo perfil es nuestra principal opción para el tratamiento de la artrosis de muñeca.…”