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Wrist arthroplasty: a retrospective study.

P M Cimino, D Riordan, J O Edmunds

    Orthopedics
    |February 1, 1987
    PubMed
    Summary
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    Wrist arthroplasty effectively relieved pain and improved function in arthritis patients long-term. Most patients experienced good outcomes with few complications, making it a viable alternative to wrist fusion.

    Area of Science:

    • Orthopedics
    • Rheumatology
    • Hand Surgery

    Background:

    • Wrist arthritis significantly impacts quality of life.
    • Surgical interventions aim to restore function and alleviate pain.
    • Wrist arthroplasty is an option for managing severe wrist arthritis.

    Purpose of the Study:

    • To evaluate the long-term effectiveness and outcomes of wrist arthroplasty.
    • To assess pain relief, functional improvement, and complication rates.
    • To compare wrist arthroplasty as an alternative to wrist arthrodesis.

    Main Methods:

    • Retrospective study of 39 wrist arthroplasties in 29 patients.
    • Patients diagnosed primarily with rheumatoid arthritis (84.6%).
    • Average follow-up of 51.2 months.

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    Main Results:

    • Excellent postoperative pain relief reported in all cases.
    • 94.9% of wrists showed improvement; 82.1% were complication-free.
    • Average grip strength: 19.2 lb; average arc of motion: 59.5 degrees.

    Conclusions:

    • Wrist arthroplasty provides durable pain relief and functional improvement.
    • It is a safe procedure with a low complication rate.
    • Wrist arthroplasty is a viable alternative to wrist arthrodesis for select patients.