Intermediate term evaluation of the Eclypse distal radio-ulnar prosthesis for rheumatoid arthritis. A report of five cases

Bigorre, N.; Cast, Y. Saint; Césari, B.; Rabarin, F.; Raimbeau, G.

doi:10.1016/j.otsr.2016.01.012

Cited by 13 publications

(13 citation statements)

References 26 publications

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“…We identified one paper (Bigorre et al, 2016) that assessed partial ulna head resurfacing replacement. This paper used the Eclypse implant (Tornier, St Martin, France) in patients with rheumatoid arthritis.…”

Section: Partial Ulna Head Replacementmentioning

confidence: 99%

Distal radio-ulnar implant arthroplasty: a systematic review

Moulton

Giddins

2017

J Hand Surg Eur Vol

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Section: Partial Ulna Head Replacementmentioning

confidence: 99%

Distal radio-ulnar implant arthroplasty: a systematic review

Moulton

Giddins

2017

J Hand Surg Eur Vol

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“…A pyrocarbon partial ulnar head replacement has also been designed and has shown promising results, but its availability is not widespread (Tornier, Saint Marin, France) (Bigorre et al, 2016; Garcia-Elias, 2007).…”

Section: Implant Designsmentioning

confidence: 99%

Non-constrained implant arthroplasty for the distal radioulnar joint

Adams

Gaffey

2017

J Hand Surg Eur Vol

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A variety of surgical techniques are used to treat the arthritic distal radioulnar joint, which is influenced by aetiology and previous procedures. Four types of ulnar head arthroplasty exist: total ulnar head, partial ulnar head, unlinked total distal radioulnar joint, and linked distal radioulnar joint. Although long-term outcome studies are sparse, short-term clinical and biomechanical studies have shown encouraging results, leading to expanded indications. Based on our experience and a literature review, patients are advised that pain is improved but minor pain is common after strenuous activity. Ulnar neck resorption is common, however, implant loosening is rare. Sigmoid notch erosion is concerning, but appears to stabilize and not affect outcome. A partial ulnar head replacement that retains bony architecture and soft tissue restraints may have benefit over a total ulnar head in appropriate patients. If appropriate selection criteria are met, ulnar head replacement typically produces reliable results, with low revision.

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“…Synovitis and tenderness of the wrist also had some impact on grip force. It is well known that wrist involvement is common in early RA [30][31][32][33][34][35][36][37] and that arthritis of the distal radio-ulnar joint is a particularly frequent cause of disability [35,38,39]. For example, with the impaired extension of the wrist, grip strength is decreased significantly [40].…”

Section: Discussionmentioning

confidence: 99%

The relation between upper extremity joint involvement and grip force in early rheumatoid arthritis: a retrospective study

et al. 2019

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To investigate the relation between joint involvement in the upper extremities and grip force in patients with early rheumatoid arthritis (RA). An inception cohort of 225 patients with early RA was followed according to a structured protocol. The same rheumatologist assessed all patients for swollen joints and joint tenderness. Grip force was measured (Grippit; AB Detektor, Gothenburg, Sweden) at the same visit. Average grip force values for the dominant hand were expressed as % of expected, based on age-and sex-specific reference values from the literature. Associations between grip force and current synovitis or tenderness of individual joints, and other disease parameters measured at the same visit, were examined. Patients with current synovitis of the wrist joint or ≥ 1 metacarpophalangeal (MCP) joint of the dominant hand had a significantly lower grip force at inclusion, at 1 year and at 5 years. Proximal interphalangeal joint tenderness and MCP joint tenderness were consistently associated with reduced grip force. In multivariate analysis, extensive MCP joint synovitis was associated with lower grip force at inclusion (β − 2.8% per joint; 95% CI − 5.3 to − 0.4), and also at the 1-year follow-up. Patient reported pain scores and erythrocyte sedimentation rates had independent negative associations with grip force at all time points. In patients with early RA, extensive synovitis of the MCP joints was associated with reduced grip force, independently of other upper extremity joint involvement. Pain and inflammation have effects on hand function beyond those mediated by local synovitis. Keywords Early rheumatoid arthritis • Grip force • Joint tenderness • Synovitis Abbreviations ACR American College of Rheumatology ADL Activities of daily living CI Confidence intervals CRP C-reactive protein DAS28 Disease activity score for 28 joints DASH Disabilities of the Arm, Shoulder and Hand Questionnaire DMARDs Disease modifying anti rheumatic drugs ESR Erythrocyte sedimentation rate

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Intermediate term evaluation of the Eclypse distal radio-ulnar prosthesis for rheumatoid arthritis. A report of five cases

Cited by 13 publications

References 26 publications

Distal radio-ulnar implant arthroplasty: a systematic review

Distal radio-ulnar implant arthroplasty: a systematic review

Non-constrained implant arthroplasty for the distal radioulnar joint

The relation between upper extremity joint involvement and grip force in early rheumatoid arthritis: a retrospective study

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