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Total wrist arthroplasty.

Rowena McBeath1, A Lee Osterman

  • 1The Philadelphia Hand Center, P.C., Thomas Jefferson University Hospital, 834 Chestnut Street, Philadelphia, PA 19107, USA. rowena.mcbeath@gmail.com

Hand Clinics
|October 30, 2012
PubMed
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Total wrist arthroplasty (TWA) has evolved with technological advancements, improving implant longevity and patient function. Careful patient selection and novel designs may establish TWA as a key treatment for wrist disability.

Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science
  • Medical Device Technology

Background:

  • Painful, nonfunctional wrists significantly impact patient quality of life.
  • Historical treatments for wrist dysfunction have limitations.
  • Disease states often lead to debilitating wrist conditions.

Purpose of the Study:

  • To review the historical evolution of total wrist arthroplasty (TWA).
  • To examine the impact of technological advancements on TWA outcomes.
  • To discuss alternative surgical options and future potential of TWA.

Main Methods:

  • Literature review of total wrist arthroplasty history and advancements.
  • Analysis of material science, wear properties, and manufacturing techniques.

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  • Comparison of TWA with alternative treatments like distal radius hemiarthroplasty.

    • Main Results:

    • Technological progress has enhanced implant longevity and wear properties.
    • Improved implant design contributes to better survival rates and patient function.
    • Distal radius hemiarthroplasty presents an alternative for specific patient groups.

    Conclusions:

    • Total wrist arthroplasty shows promise as a staple treatment with careful patient selection.
    • Novel implant designs and soft tissue considerations are crucial for TWA success.
    • Advancements in materials and manufacturing are key to improving TWA outcomes and patient function.