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Wrist arthroplasty

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https://www.readbyqxmd.com/read/29437064/the-challenge-of-monteggia-like-lesions-of-the-elbow-mid-term-results-of-46-cases
#1
P Jungbluth, S Tanner, J Schneppendahl, J-P Grassmann, M Wild, M Hakimi, J Windolf, R Laun
AIMS: The aim of this retrospective multicentre study was to evaluate mid-term results of the operative treatment of Monteggia-like lesions and to determine the prognostic factors that influence the clinical and radiological outcome. PATIENTS AND METHODS: A total of 46 patients (27 women and 19 men), with a mean age of 57.7 years (18 to 84) who had sustained a Monteggia-like lesion were followed up clinically and radiologically after surgical treatment. The Mayo Modified Wrist Score (MMWS), Mayo Elbow Performance Score (MEPS), Broberg and Morrey Score, and Disabilities of the Arm, Shoulder and Hand (DASH) score were used for evaluation at a mean of 65 months (27 to 111) postoperatively...
February 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29437062/mid-term-outcomes-of-routine-proximal-row-carpectomy-compared-with-proximal-row-carpectomy-with-dorsal-capsular-interposition-arthroplasty-for-the-treatment-of-late-stage-arthropathy-of-the-wrist
#2
COMPARATIVE STUDY
M P Gaspar, P P Pham, C D Pankiw, S M Jacoby, E K Shin, A L Osterman, P M Kane
AIMS: The aims of this study were to compare the mid-term outcomes of patients with late-stage arthritis of the wrist treated with proximal row carpectomy (PRC) and dorsal capsular interposition (DCI) arthroplasty with a matched cohort treated with routine PRC alone. PATIENTS AND METHODS: A total of 25 arthritic wrists (24 patients) with pre-existing degenerative changes of the proximal capitate and/or the lunate fossa of the radius were treated with PRC + DCI over a ten-year period...
February 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29383271/survivorship-of-revision-wrist-replacement
#3
E M Pinder, K G Chee, M Hayton, S R Murali, S C Talwalkar, I A Trail
Purpose  This study aims to report the 5-year survivorship of revision wrist arthroplasties and to report midterm clinical and radiological results. Materials and Methods  All patients receiving a revision wrist arthroplasty in our unit between January 1, 1997 and October 31, 2010 were identified, and clinical notes retrospectively analyzed for Quick Disabilities of the Arm, Shoulder and Hand (quickDASH), Patient Evaluation Method (PEM), Patient-Rated Wrist Evaluation (PRWE), the range of movement, and visual analog score (VAS)...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29383269/treatment-of-pisotriquetral-arthritis-by-pyrocarbon-interposition-arthroplasty
#4
Philippe Bellemère, Marion Aribert, Hussein Choughri, Marc Leroy, Etienne Gaisne
Purpose  Pisiformectomy is the baseline treatment for pisotriquetral arthritis when medical treatment fails to address the problem. This operation may lead to loss of mobility and strength in the wrist. This study reports the short-term outcomes of a new technique for treating pisotriquetral arthritis using a pisotriquetral interposition arthroplasty with a pyrocarbon implant. Patients and Methods  We performed a clinical and radiographic study on a series of eight patients who received this treatment at a mean follow-up of 2...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29228852/metallosis-and-carpal-tunnel-syndrome-following-total-wrist-arthroplasty
#5
Gavin J Heyes, Harriet S Julian, Ian Mawhinney
No abstract text is available yet for this article.
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29224946/revision-arthroplasty-of-the-wrist-in-patients-with-rheumatoid-arthritis-mean-follow-up-6-6-years
#6
Per Fischer, Marcus Sagerfors, Ole Brus, Kurt Pettersson
PURPOSE: Management of failed total wrist arthroplasty (TWA) can be challenging; surgical treatment options include salvage arthrodesis, revision arthroplasty, and resection arthroplasty. There are few studies regarding salvage arthrodesis, and revision arthroplasty has been infrequently investigated. The aim of the study was to report the outcome after revision arthroplasty of the wrist. METHODS: A retrospective cohort of 16 revision TWAs was evaluated between 2003 and 2016...
December 7, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29110910/treatment-of-giant-cell-tumor-of-distal-radius-with-limited-soft-tissue-invasion-curettage-and-cementing-versus-wide-excision
#7
Kamran Mozaffarian, Mehra Modjallal, Amir Reza Vosoughi
BACKGROUND: Intralesional curettage and adjuvant versus wide en bloc excision (WEE) as the best treatment method of giant cell tumor (GCT) of distal radius with limited soft tissue extension is a controversial topic. METHODS: Prospectively, 13 patients who had GCT of distal radius with perforation of either volar or dorsal cortex of the bone and soft tissue extension which was confined to one plane were enrolled in the study. Six patients treated with ICC and seven cases cured by WEE technique and proximal fibular arthroplasty...
January 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28991591/arthroscopic-management-of-scaphoid-trapezium-trapezoid-joint-arthritis
#8
REVIEW
Loris Pegoli, Alessandro Pozzi
Scaphoid-trapezium-trapezoid (STT) joint arthritis is a common condition consisting of pain on the radial side of the wrist and base of the thumb, swelling, and tenderness over the STT joint. Common symptoms are loss of grip strength and thumb function. There are several treatments, from symptomatic conservative treatment to surgical solutions, such as arthrodesis, arthroplasties, and prosthesis implant. The role of arthroscopy has grown and is probably the best treatment of this condition. Advantages of arthroscopic management of STT arthritis are faster recovery, better view of the joint during surgery, and possibility of creating less damage to the capsular and ligamentous structures...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28979589/ulna-autograft-for-wrist-arthrodesis-a-novel-approach-in-failed-wrist-arthoplasty
#9
Nastaran Sargazi, M Philpott, A Malik, M Waseem
Rheumatoid arthritis is a polyarthropathy affecting approximately 1% of the population worldwide. Wrist involvement is observed around 75% of patients, resulting in substantial disability and morbidity. A multidisciplinary approach to management of such patients is undertaken to prevent disease progression, many go on to develop debilitating disease requiring surgical intervention. Total wrist arthroplasty and arthrodesis are the main options available for those with end-stage disease, with arthroplasty preferred due to its ability to preserve a good degree of wrist function...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28971355/corr-insights%C3%A2-high-survivorship-and-few-complications-with-cementless-total-wrist-arthroplasty-at-a-mean-followup-of-9-years
#10
COMMENT
L Kang
No abstract text is available yet for this article.
December 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28927881/four-year-outcomes-of-midcarpal-hemiarthroplasty-for-wrist-arthritis
#11
Marie Anneberg, Greg Packer, Joseph J Crisco, Scott Wolfe
PURPOSE: The purpose of this study was to review the average 4-year outcomes of a cohort of patients with wrist arthritis, treated by a single surgeon with a novel prosthetic hemiarthroplasty of the midcarpal joint. We hypothesized that midcarpal hemiarthroplasty would improve range of motion and grip strength of patients with wrist arthritis, with a complication profile comparable with that of alternative solutions for wrist arthritis. METHODS: We reviewed a series of 20 patients treated with a midcarpal hemiarthroplasty at an average of 4 years following surgery...
November 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28890123/isolated-scaphotrapeziotrapezoid-osteoarthritis-treatment-using-resurfacing-arthroplasty-with-scaphoid-anchorage
#12
G Humada Álvarez, C Simón Pérez, B García Medrano, O Faour Martín, J J Marcos Rodríguez, A Vega Castrillo, M A Martín Ferrero
OBJECTIVE: The aim of this study is to show the results of scaphotrapeziotrapezoid (STT) joint osteoarthritis treatment performing resurfacing arthroplasty with scaphoid anchorage. MATERIAL AND METHOD: An observational, descriptive and retrospective study was performed. Ten patients with isolated STT joint osteoarthritis were studied between 2013 and 2015. The mean follow-up time was 26months. Clinical results, functional and subjective scores were reviewed. RESULTS: The patients were satisfied, achieving an average of 2...
September 7, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/28844772/five-to-10-year-prospective-follow-up-of-wrist-arthroplasty-in-56-nonrheumatoid-patients
#13
Ole Reigstad, Trygve Holm-Glad, Bjørg Bolstad, Christian Grimsgaard, Rasmus Thorkildsen, Magne Røkkum
PURPOSE: The goal of the study was to evaluate the clinical and radiological outcomes of a cementless wrist arthroplasty with minimum 5-year follow-up in nonrheumatoid patients. METHODS: Fifty-seven (40 male) patients with end-stage arthritis changes received an uncemented ball-and-socket total wrist arthroplasty (Motec Wrist). Function was evaluated before surgery and at yearly follow-ups. Visual analog scale at rest and activity, quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH), active range of motion (AROM), and grip-strength were recorded...
August 24, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28766160/corr-insights-%C3%A2-what-are-the-risk-factors-and-complications-associated-with-intraoperative-and-postoperative-fractures-in-total-wrist-arthroplasty
#14
Stephen Alan Kennedy
No abstract text is available yet for this article.
November 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28756731/pyrocarbon-interposition-arthroplasty-for-failed-total-wrist-arthrodesis
#15
Sergi Barrera-Ochoa, Gerardo Mendez-Sanchez, Xavier Mir-Bullo
No abstract text is available yet for this article.
November 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28725502/universal-2-wrist-arthroplasty-in-rheumatoid-arthritis
#16
Sandra Pfanner, Giovanni Munz, Giulia Guidi, Massimo Ceruso
Purpose  The aim of this study was to evaluate the mid- to long-term outcomes and complications in patients affected by rheumatic diseases treated with the Universal 2 (U2) total wrist arthroplasty (TWA). Methods  We reviewed, in a retrospective, noncontrolled cohort study, 22 patients affected by rheumatoid arthritis (RA), who underwent U2 total wrist replacement between March 2003 and January 2014 for the treatment of 23 rheumatoid wrists with the aim of obtaining the remission of pain and a range of motion (ROM) useful for daily activities, according to the patients' demands, as an alternative to total wrist arthrodesis...
August 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28721601/high-survivorship-and-few-complications-with-cementless-total-wrist-arthroplasty-at-a-mean-followup-of-9-years
#17
Joseph A Gil, Robin N Kamal, Eugene Cone, Arnold-Peter C Weiss
BACKGROUND: Total wrist arthroplasty (TWA) has been described as traditionally being performed with fixation in the radius and carpus with cement. The TWA implant used in our series has been associated with promising results in studies with up to 6 years followup; however, studies evaluating survivorship, pain, and function with this implant are limited. QUESTION/PURPOSE: (1) To report ROM and pain scores after wrist reconstruction with cementless fourth-generation TWA at a mean followup of 9 years (range, 4...
December 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28688019/what-are-the-risk-factors-and-complications-associated-with-intraoperative-and-postoperative-fractures-in-total-wrist-arthroplasty
#18
Eric R Wagner, Jason J Srnec, Kapil Mehrotra, Marco Rizzo
BACKGROUND: Total wrist arthroplasty (TWA) can relieve pain and preserve some wrist motion in patients with advanced wrist arthritis. However, few studies have evaluated the risks and outcomes associated with periprosthetic fractures around TWAs. QUESTIONS/PURPOSES: (1) What is the risk of intraoperative and postoperative fractures after TWAs? (2) What factors are associated with increased risk of intraoperative and postoperative fracture after TWAs? (3) What is the fracture-free and revision-free survivorship of TWAs among patients who sustained an intraoperative fracture during the index TWA? METHODS: At one institution during a 40-year period, 445 patients underwent primary TWAs...
November 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28673628/current-european-practice-in-wrist-arthroplasty
#19
REVIEW
Michel E H Boeckstyns, Guillaume Herzberg
The results of wrist arthroplasty for severely destroyed and painful wrists are generally good in pain reduction, increased grip strength, and upper limb function. The wrist range of motion is usually preserved but not improved. Implant survival seems better than it was with earlier implant designs; however, there are problems of carpal component loosening. Patient selection plays an important role, requiring experience, careful patient information, and discussing the pros and cons of arthroplasty and partial or total wrist arthrodesis...
August 2017: Hand Clinics
https://www.readbyqxmd.com/read/28660002/does-total-wrist-arthroplasty-for-treatment-of-posttraumatic-wrist-joint-osteoarthritis-in-young-patients-always-lead-to-restriction-of-high-demand-activities-of-daily-living-case-report-and-brief-review-of-recent-literature
#20
Ingo Schmidt
BACKGROUND: Posttraumatic ulnar carpal translocation is a very rare condition that is caused either by fracture-dislocation injury or by purely ligamentous injury of the wrist. Its prognosis is poor and development of posttraumatic pancarpal wrist joint osteoarthritis is inevitable, and options for treatment are total wrist fusion or total wrist arthroplasty. METHODS: A 24-year-old male sustained a fracture-related injury in his left wrist that was accompanied with a second ligamentous distorsion-related injury 1 year later in the same wrist...
2017: Open Orthopaedics Journal
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