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Related Concept Videos

Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Total Wrist Arthroplasty.

Andrea Halim1, Arnold-Peter C Weiss2

  • 1Department of Orthopaedics, Yale University School of Medicine, New Haven, CT.

The Journal of Hand Surgery
|January 24, 2017
PubMed
Summary
This summary is machine-generated.

Total wrist arthroplasty is a predictable procedure for arthritis patients, with improved outcomes due to implant design modifications. This review covers current uses, complications, and surgical techniques for primary and revision total wrist arthroplasty.

Keywords:
Wristarthroplastyimplantreplacementrevision

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Total wrist arthroplasty (TWA) has become a more predictable procedure.
  • Improvements in implant design have reduced complication rates over the last decade.

Purpose of the Study:

  • To summarize the current applications of TWA.
  • To discuss revision surgery, secondary fusion, complications, and radiolucency.
  • To provide technical tips for primary and revision TWA.

Main Methods:

  • Literature review of current TWA practices.
  • Analysis of complication incidence and implant design evolution.
  • Discussion of surgical techniques and outcomes.

Main Results:

  • Current TWA implants offer predictable results for rheumatoid, osteoarthritic, and posttraumatic conditions.
  • Implant design modifications have led to a decreased incidence of complications.
  • Key issues include revision surgery, fusion takedown, and periprosthetic radiolucency.

Conclusions:

  • Total wrist arthroplasty is a viable option for specific patient groups.
  • Ongoing implant development continues to enhance TWA predictability and safety.
  • Management of complications and revision strategies are crucial for successful outcomes.