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[Total wrist arthroplasty].

T Li1, B Shi, G Li

  • 1Department of Orthopedics and Traumatology, Helsinki University Central Hospital, Helsinki, Finland P. O. Box 9. tianfangl@yahoo.com

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery
|January 10, 2002
PubMed
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Total wrist arthroplasty offers an alternative to wrist fusion for patients needing advanced hand function. This review covers prosthesis design, surgical methods, and outcomes for total wrist replacement.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Reconstructive Surgery

Context:

  • End-stage wrist arthritis often leads to debilitating pain and functional loss.
  • Traditional treatments like wrist arthrodesis (fusion) provide pain relief but sacrifice motion.
  • Advancements in implant design and surgical techniques have improved total wrist arthroplasty outcomes.

Purpose:

  • To provide a comprehensive review of the historical development and current state of total wrist arthroplasty.
  • To analyze the evolution of wrist prosthesis design, focusing on biomechanical properties.
  • To discuss surgical techniques, associated complications, and revision strategies for total wrist arthroplasty.

Summary:

  • This review examines various generations of wrist prostheses, highlighting design features and biomechanical considerations.

Related Experiment Videos

  • Surgical approaches, common complications, and salvage procedures for total wrist arthroplasty are detailed.
  • The study evaluates the efficacy of total wrist arthroplasty in restoring function for patients with specific needs.

    • Impact:

    • Total wrist arthroplasty presents a viable option for select patients with severe wrist arthritis who require preserved hand function.
    • Understanding prosthesis evolution and surgical outcomes can guide clinical decision-making in wrist reconstruction.
    • This review contributes to the literature on managing end-stage wrist arthritis, offering insights into functional restoration.