2020
DOI: 10.1055/s-0040-1714683
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Complications and Factors Associated with Reoperation following Total Wrist Fusion

Abstract: Background Total wrist fusion can be elected to relieve pain in patients with osteoarthritis and rheumatoid arthritis. This study aimed to investigate the overall complications and the factors associated with reoperation and soft tissue complication after total wrist fusion. Methods We retrospectively identified adult patients who underwent total wrist fusion using Current Procedural Terminology (CPT) codes, International Classification of Diseases, Ninth and Tenth Revision (ICD-9 and ICD-10) and ver… Show more

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Cited by 9 publications
(10 citation statements)
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“…Total wrist fusion is an option in SLAC and SNAC IV, but total wrist replacement is now also an option, as the survival rate of the new generation of arthroplasties has increased markedly. 17 , 72 , 73…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Total wrist fusion is an option in SLAC and SNAC IV, but total wrist replacement is now also an option, as the survival rate of the new generation of arthroplasties has increased markedly. 17 , 72 , 73…”
Section: Resultsmentioning
confidence: 99%
“…[69][70][71] total Wrist Fusions and Arthroplasties. Total wrist fusion 72 historically provides predictable pain relief at the cost of a complete loss of motion and shock absorption. The complication rate in total wrist fusion is up to 6%, according to a recent published systematic review.…”
Section: Bone Marrow Stimulationsmentioning
confidence: 99%
“…However, even with a non-spanning “T” plate, the removal rate is 13% (two out of 15 patients) in one study [ 9 ]. A retrospective review of spanning plates used for radiocarpal fusion reported a reoperation rate of almost 20% for symptomatic hardware [ 10 ]. Postoperative complications after TWA with plates, including plate prominence or failure, screw loosening, tendon adhesions, nonunion, and infection, are as high as 30%-60%, and the reoperation rate for any reason varies from 19% to 64% [ 10 , 11 ].…”
Section: Discussionmentioning
confidence: 99%
“…Plate failure for the wrist fusion occurs mainly at the distal screws, which is attributed to the third CMC nonunion and excess motion [ 10 ]. Moreover, loosening of a total wrist arthroplasty commonly occurs at the distal screw and pegs in the carpal and metacarpal [ 15 ].…”
Section: Discussionmentioning
confidence: 99%
“…Recent evidence suggests that the complication rate of all 3rd generation TWAs is significantly lower than older generation types (p=0.002, range 0.1-2.9% vs.0.2-8.1%) [12], and its complication rate with 7% is slightly lower as well to those with 10% in patients undergoing a TWF, and TWF is associated with a higher percentage of perioperative devicerelated complications (6 vs. 3%, p < 0.001) and respiratory complications (0.54 vs. 0%, p < 0.05) potentially leading to higher costs of hospitalization than TWA in 2010 [13]. Noted that mid-to long-term outcomes of primary TWF revealed a complication rate ranging from 33 to 60.5% associated with a required re-operation rate ranging from 19 to 63% with a reported predominance in females suffered from inflammatory disease, respectively [14][15][16][17]. From all 3rd generation TWAs the Maestro was superior both in terms of longevity and functional outcome over the other types, however, this implant was withdrawn from the marketplace because it was no longer profitable for the company, and now surgeons have explanation misery to their patients [18][19][20][21][22].…”
Section: Introductionmentioning
confidence: 99%