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Biaxial total wrist arthroplasty in rheumatoid arthritis
1Department of Orthopedic Surgery, Centre hospitalier de l'université Laval, Sante-Foy, Que.
Objective:
To judge the outcome of total wrist arthroplasty.
Design:
A retrospective study of 13 patients.
Setting:
A university hospital.
Patients:
Seventeen patients with stage III or IV rheumatoid arthritis of the wrist. Only 13 patients were studied because 3 died and 1 was lost to follow-up.
Intervention:
Biaxial total wrist arthroplasty (15 procedures).
Main Outcome Measures:
Clinical assessment and the Hospital for Special Surgery scoring system and radiologic review.
Results:
Good or excellent results were achieved in all patients after an average follow-up of 54 months.
Conclusion:
Biaxial total wrist arthroplasty is a reasonable treatment in rheumatoid patients when preservation of wrist motion is critical.