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Total wrist arthroplasty.

Brian D Adams1

  • 1University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA. brian-d-adams@uiowa.edu

Techniques in Hand & Upper Extremity Surgery
|March 7, 2006
PubMed
Summary
This summary is machine-generated.

Total wrist arthroplasty offers a pain-free, functional joint but cannot replicate natural motion. Careful patient selection and surgical planning are crucial for successful outcomes in low-demand individuals seeking wrist mobility.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Normal wrist function relies on complex interactions between the radius, ulna, and carpal bones.
  • Total wrist arthroplasty aims to restore stability and pain-free motion, though it cannot fully replicate natural biomechanics.

Purpose of the Study:

  • To evaluate the potential of total wrist arthroplasty in providing a stable, pain-free joint with functional range of motion.
  • To identify optimal patient candidates and essential considerations for successful total wrist arthroplasty outcomes.

Main Methods:

  • Review of existing literature on total wrist arthroplasty.
  • Analysis of patient selection criteria, preoperative planning, and implantation techniques.
  • Discussion of potential complications and revision strategies.

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Main Results:

  • Total wrist arthroplasty can yield a stable, pain-free joint with functional motion, particularly beneficial for low-demand patients.
  • Patient selection, meticulous planning, and precise implantation are paramount for achieving durable results.
  • Candidates include those with arthritis affecting multiple upper limb joints or those prioritizing vocational/avocational activities.

Conclusions:

  • Total wrist arthroplasty is a viable option for select patients desiring preserved wrist motion, despite inherent risks and activity limitations.
  • Potential complications include infection, imbalance, implant failure, and loosening, necessitating careful patient counseling.
  • Revision surgery or conversion to arthrodesis are options for failed total wrist implants.