Current Rheumatology Reviews

Dr. Serena Guiducci  
Department of Biomedicine, Division of Rheumatology
University of Florence


Total Wrist Arthroplasty: New Perspectives

Author(s): Guillaume Herzberg.


The use of total wrist arthroplasty to treat end-stage arthritic wrists remains controversial because of a high rate of complications. The advent of new designs and smaller prostheses decreases complications and attitudes are gradually changing. The early results of a prospective study of one last generation total wrist arthroplasty in a series of 20 wrists with end-stage arthritic wrists (13 rheumatoid) in 19 patients are presented. There were no intra-operative complications nor reoperations or dislocations. The patients’ pain scores improved from 7 preoperatively to 2 postoperatively. Wrist function improved and postoperative motion was very close to wrist functional motion. In the short term follow-up, the new generation total wrist arthroplasty seemed to provide better outcomes when compared with the old generation total wrist arthroplasty. Arthroplasty may be a viable option for the end-stage rheumatoid and osteoarthritic wrist. Longer follow- up is needed to evaluate the durability of the arthroplasty.

Keywords: Total wrist arthroplasty, rheumatoid arthritis, wrist arthritis, prosthesis

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Article Details

Year: 2012
Page: [239 - 244]
Pages: 6
DOI: 10.2174/157339712805077131
Price: $58