Five- to 10-Year Prospective Follow-Up of Wrist Arthroplasty in 56 Nonrheumatoid Patients

Reigstad, Ole; Holm-Glad, Trygve; Bolstad, B.; Grimsgaard, Christian; Thorkildsen, Rasmus; Røkkum, Magne

doi:10.1016/j.jhsa.2017.06.097

Cited by 66 publications

(81 citation statements)

References 25 publications

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“…One solution may be to use an elliptical polyethylene cap which has a smaller radius for its major curvature. However, with that change, the joint would become closer to a ball‐and‐socket joint, which, accordingly, provides no torsional (supination‐pronation) stability and it is instructive to note such designs have been considered, but have been associated with high complication rates relative to other arthroplasty designs 1,2,9,60 . The mismatch of the orientation of the screw axis in the antidart‐thrower's motions (radial‐flexion to ulnar‐extension) between healthy wrists and TWA might also be resolvable with novel designs.…”

Section: Discussionmentioning

confidence: 99%

“…Total wrist arthroplasty (TWA) has a history as long as total knee and hip joint replacements 1 ; however, it has not demonstrated the same high survival rates 2‐4 . Although current TWA designs 5‐8 have improved over the past decade and have started to become a reliable option for some patients, 6 high complication rates are still a major issue 9‐11 .…”

Section: Introductionmentioning

confidence: 99%

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Proximal‐distal shift of the center of rotation in a total wrist arthroplasty is more than twice of the healthy wrist

Akhbari

Morton

Shah

et al. 2020

Journal Orthopaedic Research

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Reproduction of healthy wrist biomechanics should minimize the abnormal joint forces that could potentially result in the failure of a total wrist arthroplasty (TWA). To date, the in vivo kinematics of TWA have not been measured and it is unknown if TWA preserves healthy wrist kinematics. Therefore, the purpose of this in vivo study was to determine the center of rotation (COR) for a current TWA design and to compare its location to the healthy wrist. The wrist COR for six patients with TWA and 10 healthy subjects were calculated using biplane videoradiography as the subjects performed various range‐of‐motion and functional tasks that included coupled wrist motions. An open‐source registration software, Autoscoper, was used for model‐based tracking and kinematics analysis. It was demonstrated that the COR was located near the centers of curvatures of the carpal component for the anatomical motions of flexion‐extension and radial‐ulnar deviation. When compared to healthy wrists, the COR of TWAs was located more distal in both pure radial deviation (P < .0001) and pure ulnar deviation (P = .07), while there was no difference in its location in pure flexion or extension (P = .99). Across all coupled motions, the TWA's COR shifted more than two times that of the healthy wrists in the proximal‐distal direction (17.1 vs 7.2 mm). We postulate that the mismatch in the COR location and behavior may be associated with increased loading of the TWA components, leading to an increase in the risk of component and/or interface failure.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Proximal‐distal shift of the center of rotation in a total wrist arthroplasty is more than twice of the healthy wrist

Akhbari

Morton

Shah

et al. 2020

Journal Orthopaedic Research

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“…In the literature, no evident data exist regarding patients receiving TWA can load their wrists; Weiss and Akelman [98] advised their eligible patients not to load greater than 10 pounds which contains the implant from a safety perspective. However, there is a trend in literature toward younger patients with good bone stock [67,84,88].…”

Section: Twa Vs Twf and Wrist Denervationmentioning

confidence: 99%

Functional Outcomes After Salvage Procedures for Wrist Trauma and Arthritis (Four-Corner Fusion, Proximal Row Carpectomy, Total Wrist Arthroplasty, Total Wrist Fusion, Wrist Denervation): A Review of Literature

Schmidt¹

2019

TOORTHJ

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Background: Several salvage procedures for the arthritically destroyed wrist exist. Each of these has advantages as well as disadvantages. Aims: The aim of this article is to give practical insights for the clinician on: (1) biomechanical and clinical fundamentals of normal and impaired wrist motion; (2) difficulties in assessment of postoperative outcome between measured motion by the surgeon and self-reported outcome by the patient; (3) indications for each procedure; and (4) differences in functional outcome between partial and complete motion-preserving as well as complete motion-restricting salvage procedures. Methods: In trend, Proximal Row Carpectomy (PRC) is slightly superior over four-corner fusion (4CF) in terms of functional outcome, but the methodology-related postoperative motion is decreased for both procedures. Furthermore, PRC is easier to perform, needs lower costs, and has fewer complications than 4CF. Total Wrist Arthroplasty (TWA) has the advantage compared to PRC and 4CF that the preoperative motion values are preserved, but it is limited by decreased load-bearing capacity for the wrist. Total Wrist Fusion (TWF) is associated with a higher load-bearing capacity for the wrist than TWA, but it is limited for carrying out essential activities of daily living. Both PRC and 4CF can be combined primarily by wrist denervation. Wrist denervation alone does not impair the movement of the wrist. Results and Conclusion: Salvage procedures for the arthritically destroyed wrist should be detected regarding patients age- and gender-related claims in work and leisure. Not all of them can be successfully re-employed in their original occupations associated with high load-bearing conditions.

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“…posttraumatic osteoarthritis), the salvage options (i.e. "fourth stage of management") are joint replacement, joint arthrodesis with or without required correction of misalignment ( Figures 9A-C), or amputation when limb salvage procedures become not possible [19,28,[36][37][38][39][40][41][42][43][44][45]. A reasonable option to O(C)RIF for highly comminuted fractures can be primary motion preserving total or partial joint replacement at the lower and upper extremities for surgeons who are familiar with its use (Figures 5C-D and 7C-E) [46][47][48][49][50][51][52][53].…”

mentioning

confidence: 99%

Necessity of secondary Syme amputation of the foot after severely destroyed hindfoot injury due to suicidal jump from height in a psychiatric patient: Case presentation and brief review of literature

Schmidt¹,

Schmieder²

2017

Trauma Emerg Care

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Abbreviations: 3D CT : three-dimensional computed tomography; CREF: closed reduction and external fixation; DPNFCSAF: distally pedicled neurofasciocutaneous sural artery flap; O(C)RIF: open (closed) reduction and internal fixation. Case presentationA 44-year-old obese female (body mass index 37.2 kg/m 2 ) presented with open severely destroyed injuries of her both hindfoots after a suicidal jump from approximately 4 m height out of her private balcony. There was a longstanding history of a psychiatric disorder (schizophrenia) treated by psychopharmaca. The left foot showed an open Gustilo-Anderson II hindfoot injury at the lateral aspect of calcaneus, and three-dimensional computed tomography (3D CT) revealed a highly comminuted hindfoot fracture-dislocation injury involving the calcaneus, the subtalar joint, and the Chopart joint ( Figure 1A). The right foot showed an open Gustilo-Anderson IIIB hindfoot injury at the medial-plantar aspect of calcaneus, and 3D CT revealed a highly comminuted calacaneus fracture ( Figure 1B).Both injuries were initially treated by closed reduction and external fixation (CREF) accompanied with percutaneous pinning, negative-pressure vacuum assisted closure (VAC) therapy, and intravenous application of antibiotics (cefuroxime). Against our strict recommendations not to load her both legs, the patient mobilized herself with full-weight bearing and went away several times from our hospital and so nearly all pins of external and internal fixations were broken. As a consequence, the overall pins for external and internal fixation of both foots had to be removed 4 weeks after primary surgery, resulting in severe posttraumatic flat foot on both sites based on pronounced bony destruction and fragment dislocation and diastases of the calcaneus bones accompanied with re-dislocation in her left Chopart joint (Figures 2A and 3A). After intermittent negativepressure VAC therapy, a secondary wound closure of her left open II injury could be achieved without additional soft tissue coverage 3 weeks after injury. For closure of her right open IIIB injury, wound coverage with the use of a distally pedicled neurofasciocutaneous sural artery flap (DPNFCSAF) was performed 1 week after removal of the pins. For this purpose, the pedicle of the flap was primarily covered by a synthetic skin substitute (Epigard) at its 160° pivot point extending up distally to the flap, and secondarily covered by split-thickness skin grafts 1 week later that was associated with an uneventful wound healing (i.e. flap survival) ( Figures 2B-C).At the left foot, the further course after secondary wound closure of her open II injury without the need of coverage was complicated by development of severe osteomylitis of the hindfoot involving the distal tibia metaphysis presented with marked swelling of the overall foot and an infectious fistula at the lateral aspect of calcaneus (Staphylococcus aureus) ( Figures 3A-B). Hence, the Syme amputation was detected and performed by us that was associated with an uneventful course ( Fi...

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Five- to 10-Year Prospective Follow-Up of Wrist Arthroplasty in 56 Nonrheumatoid Patients

Cited by 66 publications

References 25 publications

Proximal‐distal shift of the center of rotation in a total wrist arthroplasty is more than twice of the healthy wrist

Proximal‐distal shift of the center of rotation in a total wrist arthroplasty is more than twice of the healthy wrist

Functional Outcomes After Salvage Procedures for Wrist Trauma and Arthritis (Four-Corner Fusion, Proximal Row Carpectomy, Total Wrist Arthroplasty, Total Wrist Fusion, Wrist Denervation): A Review of Literature

Necessity of secondary Syme amputation of the foot after severely destroyed hindfoot injury due to suicidal jump from height in a psychiatric patient: Case presentation and brief review of literature

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