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Radius fracture after total wrist arthroplasty
1Division of Orthopaedic Surgery, Evanston Hospital, III. 60201.
The Journal of Hand Surgery
|July 1, 1989
Summary
Radius fractures after total wrist arthroplasty are uncommon but can lead to complications. Nonoperative treatment often results in poor healing, necessitating further surgical intervention for optimal outcomes.
Area of Science:
- Orthopedic Surgery
- Arthroplasty Research
Background:
- Total wrist arthroplasty (TWA) is a procedure for end-stage wrist arthritis.
- Radius fractures are potential complications following orthopedic procedures.
Observation:
- Four cases of radius fracture occurring at least 18 months post-TWA are presented.
- Fractures resulted from falls, with one patient experiencing bilateral events.
Findings:
- Initial nonoperative treatment led to nonunion or malunion in three of the four radius fractures.
- Two patients underwent successful revision arthroplasty, with a third case under consideration.
Implications:
- Radius fractures post-TWA may require surgical management for favorable healing.
- Further investigation into fracture prevention and optimal treatment strategies is warranted.
