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Current European Practice in Wrist Arthroplasty
Michel E H Boeckstyns1, Guillaume Herzberg2
1CFR Hospitals, Hans Bekkevold Alle 2b, Hellerup 2900, Denmark.
Hand Clinics
|July 5, 2017
Summary
Wrist arthroplasty effectively reduces pain and improves function for severe wrist destruction. While preserving motion, implant survival is good, though carpal loosening remains a concern, necessitating careful patient selection.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Severe wrist destruction and pain significantly impair quality of life.
- Previous implant designs had limitations in longevity and performance.
Purpose of the Study:
- To evaluate the outcomes of wrist arthroplasty for severely destroyed wrists.
- To assess pain reduction, functional improvement, and implant survival.
Main Methods:
- Review of clinical outcomes following wrist arthroplasty.
- Analysis of pain scores, grip strength, upper limb function, and range of motion.
- Assessment of implant survival and complications, including carpal component loosening.
Main Results:
- Wrist arthroplasty generally leads to good pain reduction and improved grip strength and upper limb function.
- Wrist range of motion is typically preserved, not enhanced.
- Modern implant designs show improved survival rates compared to older ones, but carpal component loosening persists.
Conclusions:
- Wrist arthroplasty offers significant benefits for patients with severe wrist destruction.
- Careful patient selection, informed consent, and discussion of alternatives like wrist fusion are crucial for optimal outcomes.
- Ongoing research into implant design and surgical techniques is needed to address complications like carpal loosening.
