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[Prosthesis of the upper extremity]

P M Rozing1

  • 1Academisch Ziekenhuis, afd. Orthopedic, Leiden.

Nederlands Tijdschrift Voor Geneeskunde
|September 28, 1998
PubMed
Summary
This summary is machine-generated.

When conservative treatments fail for joint pain and limited mobility, surgery like joint replacement may be considered. Upper extremity joint prostheses offer good function but have a higher complication rate and shorter follow-up than hip or knee replacements.

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Area of Science:

  • Orthopedic surgery
  • Biomedical engineering
  • Rheumatology

Background:

  • Joint impairment from pain/limited mobility often necessitates surgical intervention when conservative measures are insufficient.
  • Arthrodesis (joint fusion) and artificial joint implantation are primary surgical options.
  • Prosthetic joint replacement is favored for preserving mobility, crucial for overall joint function, especially in cases involving adjacent joints like in rheumatoid arthritis.

Purpose of the Study:

  • To review the indications, functional outcomes, and complication rates of artificial joint implantation in the upper extremity.
  • To compare upper extremity joint prostheses with those in the lower extremity.

Main Methods:

  • Review of existing literature on upper extremity joint replacement.

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  • Analysis of indications, functional results, and complications.
  • Comparison with hip and knee prosthesis data.

    • Main Results:

    • Primary indications for upper extremity joint prostheses include rheumatoid arthritis, osteoarthritis, and posttraumatic impairments.
    • Shoulder, elbow, and wrist prostheses demonstrate good functional results.
    • The complication rate for upper extremity prostheses is relatively high compared to hip and knee prostheses.
    • Current follow-up data for upper extremity joint prostheses is limited.

    Conclusions:

    • Artificial joint implantation is a viable option for functional upper extremity impairment when conservative treatments fail.
    • While functional outcomes are positive, the higher complication rate and limited follow-up necessitate careful patient selection and further research.
    • Preservation of mobility is a key advantage of prosthetic joint replacement in the upper limb.