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[The painful wrist joint: alloplastic joint replacement]
Zeitschrift Fur Unfallchirurgie Und Versicherungsmedizin : Offizielles Organ Der Schweizerischen Gesellschaft Fur Unfallmedizin Und Berufskrankheiten = Revue De Traumatologie Et D'Assicurologie : Organe Officiel De La Societe Suisse De
|January 1, 1993
Summary
Painful wrist conditions, including carpal collapse from trauma or arthritis, can lead to severe joint deterioration. Total wrist replacement offers a viable treatment for painful wrist destruction and instability.
Area of Science:
- Orthopedics
- Rheumatology
- Trauma Surgery
Background:
- Wrist pain and instability are often linked to carpal collapse.
- Etiologies include trauma (e.g., perilunar dislocation), congenital disorders, and rheumatoid arthritis.
- Joint deterioration can progress from local damage to generalized deforming osteoarthritis.
Purpose of the Study:
- To analyze the causes of painful wrist conditions.
- To evaluate treatment options for severe wrist joint destruction and instability.
- To highlight the role of total wrist arthroplasty in managing these conditions.
Main Methods:
- Review of etiological factors contributing to carpal collapse and wrist pain.
- Comparison of traditional surgical salvage procedures (partial/total fusion, carpectomy).
- Evaluation of the efficacy of the Meuli total wrist prosthesis (ball and socket joint).
Main Results:
- Carpal collapse is an increasingly recognized consequence of wrist trauma, congenital issues, and rheumatoid arthritis.
- Progressive joint deterioration can lead to widespread deforming osteoarthritis.
- Total wrist prosthesis provides a significant treatment option alongside traditional methods.
Conclusions:
- Understanding the etiology of painful wrists is crucial for effective management.
- Total wrist arthroplasty is a valuable intervention for end-stage wrist destruction and instability.
- The Meuli total wrist prosthesis offers a solution for patients with severe, painful wrist joint pathology.