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Uncemented total wrist arthroplasty

H C Meuli1, D L Fernandez

  • 1Department of Orthopaedic Surgery, University of Berne, Switzerland.

The Journal of Hand Surgery
|January 1, 1995
PubMed
Summary
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This study evaluated a non-cemented wrist implant in 45 patients, finding excellent or good results in over 70% of cases after an average of 4.5 years. The wrist prosthesis demonstrated effectiveness for arthritis pain and function.

Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science
  • Rheumatology

Background:

  • Wrist arthritis significantly impacts daily activities and quality of life.
  • Non-cemented implants offer potential advantages in bone ingrowth and long-term fixation.
  • Evaluating long-term outcomes of novel orthopedic implants is crucial for clinical practice.

Purpose of the Study:

  • To report the clinical and radiographic outcomes of a novel non-cemented wrist implant.
  • To assess the implant's efficacy in patients with rheumatoid and traumatic arthritis.
  • To evaluate pain, function, range of motion, and grip strength post-implantation.

Main Methods:

  • A cohort of 45 patients received 50 non-cemented wrist prostheses between 1986 and 1991.
  • Patients were followed for an average of 4.5 years (range, 2-6 years).

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  • Outcomes assessed included pain levels, ability to perform daily activities, joint motion, grip strength, and radiographic evaluation.

    • Main Results:

    • Overall, results were categorized as excellent (24 wrists), good (12 wrists), fair (5 wrists), and poor (8 wrists).
    • Over 70% of patients experienced excellent or good outcomes.
    • The implant showed promising results in improving wrist function and reducing pain in patients with arthritis.

    Conclusions:

    • The non-cemented wrist implant developed in 1986 demonstrated a favorable outcome profile in the medium term.
    • The implant is a viable option for managing wrist arthritis, particularly in patients with rheumatoid and traumatic conditions.
    • Further long-term studies are warranted to confirm sustained efficacy and durability.