Swanson Implant Arthroplasty of the Wrist in Rheumatoid Arthritis

Nylén, S.; Sollerman, Christer; Haffajee, D.; Ekelund, Leif

doi:10.1016/0266-7681(84)90046-9

Cited by 22 publications

(2 citation statements)

References 8 publications

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“…Die Nachuntersuchung basierte auf dem Bewertungsschema nach Clayton. Ergebnisse: Im Bewertungsschema nach Clayton erreichten 92 % der operierten Handgelenke ein gutes und sehr gutes Ergebnis, was einer durchschnittlich Steigerung von pr ä operativ 39,4 Im Verlauf der rheumatoiden Artritiden kommt es in ca. 2 / 3 der F ä lle zu Ver ä nderungen im Handgelenkbereich [23] .…”

Section: Zusammenfassungunclassified

“…Der Erhalt der feinmotorischen Gebrauchsf ä higkeit der Hand l ä sst rekonstruktive Operationsverfahren vorteilhaft erscheinen. Um der Schl ü sselrolle des Handgelenks f ü r die Gebrauchsfunktion der gesamten Hand gerecht werden zu k ö nnen, muss die rekonstruktive Versorgung ein schmerzfreies und ausreichend stabiles Gelenk mit einem funktionellen Bewegungsradius [6,41] [1,5,11,16,23,27,39,49,51] , dass nach durchschnittlich 5 Jahren mit einer deutlichen Verschlechterung der klinischen und radiologischen Ergebnisse zu rechnen ist. In Ü bereinstimmung mit anderen Autoren [1,5,7,17,18,23,27,49,51] konnten wir eine hohe Rate an Erm ü dungsbr ü chen (31 % ), Osteo-lysen (12 % ) und insbesondere eine progrediente karpale H ö henminderung best ä tigen [26,47] .…”

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Die rekonstruktive Versorgung des rheumatischen Handgelenks mit Handgelenksprothesen

Thabe¹,

Schill²

2009

Akt Rheumatol

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Schl ü sselw ö rter • ▶ Handgelenkprothetik • ▶ karpale H ö he • ▶ Modulare-Physiologische Handgelenksprothese • ▶ rheumatoide Arthritis Key words • ▶ wrist arthroplasty • ▶ carpal height • ▶ modular physiological total wrist arthroplasty • ▶ rheumatoid arthritisAbstract & Background: Especially when multiple joints are aff ected by rheumatoid arthritis total wrist arthroplasty (total wrist arthroplasty) provides better function and higher patient satisfaction than fusion. The midterm results of a new total wrist prosthesis with cementless fi xation are reported. Materials and Methods:The modular physiological total wrist arthroplasty represents a new wrist prosthesis generation with anatomic reconstruction of carpal height and wrist pivot. The physiological total wrist arthroplasty was developed in 1992 and has been in clinical application since 1993. 26 total wrist arthroplasty with the MPH prosthesis were implanted for the treatment of severe rheumatoid arthritis between 2003 and now. The mean follow-up period was 3.1 years (range: 1 to 5.2 years). Each wrist was rated on the 100-point scale of Clayton based on wrist balance, range of motion, pain relief and extensor strength. Results: The postoperative total wrist score averaged 86.4 points, representing 92 % of good and excellent score results. Three patients were judged fair. A poor result was obtained in a septic case. Patient satisfaction and pain relief were achieved in 92 % . Total range of motion (flexion / extension) averaged 66 ° and for combined ulnar and radial deviation 27 ° were maintained. Fail ures occurred in the first series exclusively. Mal alignment of the carpal and radial component and soft-tissue dysbalance were the reasons for recurrent subluxation in 1 case and traumatic lux ation in 1 case (2x). Conclusion: The introduction of the MPH prosthesis successfully solved the problems of the primary design and the mid-term clinical results have substantially improved. Institute 1 Diakonie Krankenhaus, Orthop ä dische Abteilung, Bad Kreuznach 2 Kliniken Harthausen, Orthop ä die Harthausen, Bad Aibling Zusammenfassung & Hintergrund: Der Rheumapatient, mit seiner Tendenz zur multiplen Gelenkzerst ö rung und den fehlenden Kompensationsm ö glichkeiten der Nachbargelenke, profi tiert entscheidend von einer mobilen Handgelenksrekonstruktion mit Erhalt der feinmotorischen Gebrauchsf ä higkeit der Hand. Alternativ stehen als mobile L ö sungen f ü r das Handgelenk Resektionsverfahren zur Verf ü -gung. Wir berichten ü ber unsere Erfahrungen mit Handgelenksprothesen. Die Modulare Physiologische Handgelenksprothese als Metall-PE-Gleitpaarung, mit der eine anatomisch-funktionelle Rekonstruktion des Handgelenks mit Wiederaufbau der karpalen H ö he und des Gelenkdrehpunkts erreicht werden kann, erm ö glicht eine gute Rekonstruktion und Gebrauchsf ä higkeit des rheumatisch zerst ö rten Handgelenks. Material und Methodik: Im Zeitraum 1993 bis Ende 2000 wurden bereits 51 zementfreie Handgelenks-Prothesen implantiert. 36 Handgelenke wurden mit dem Erstgeneratio...

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Section: Zusammenfassungunclassified

Die rekonstruktive Versorgung des rheumatischen Handgelenks mit Handgelenksprothesen

Thabe¹,

Schill²

2009

Akt Rheumatol

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Handgelenk

Schill

Thabe²,

Wanivenhaus

2005

Rheumaorthopädie

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Variation in occupational exposure associated with musculoskeletal complaints: a cross-sectional study among professional bassists

Woldendorp

Boonstra

Arendzen

et al. 2017

Int Arch Occup Environ Health

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BackgroundVariation in occupational exposure is assumed to have a protective effect against the development of musculoskeletal complaints (MSC), but this common assumption is not strongly supported by the literature. Among musicians, who have a high prevalence of MSC, many play more than one type of instrument (multi-instrumentalism) for many hours a day. Since multi-instrumentalism implies greater variation in ergonomic load of specific musculoskeletal areas than mono-instrumentalism, musicians are a suitable study population to test whether the above assumption is true.PurposeTo investigate in a sample of professional bass players whether multi-instrumentalists are less likely to have MSC than mono-instrumentalists.MethodsParticipants were 141 professional and professional student double bassists and bass guitarists. Demographic, MSC and exposure characteristics were collected online with self-constructed and existing questionnaires. Logistic regression analysis was used to test the association between multi- versus mono-instrumentalism and MSC, adjusted for confounders.ResultsThe prevalence of having MSC in the neck, back, right shoulder area and both wrist areas did not differ significantly between the two groups. Further analysis revealed that the likelihood of having MSC in the left shoulder area was higher in multi-instrumentalists compared to mono-instrumentalists (Odds ratio 0.30, 95% CI 0.119–0.753, p = 0.010).ConclusionIn this sample of professional bass players, no protective effect of multi-instrumentalism against MSC was found. Multi-instrumentalism was associated with a higher prevalence of MSC in the left shoulder. This result challenges theoretical and clinical assumptions in occupational and pain medicine.Electronic supplementary materialThe online version of this article (doi:10.1007/s00420-017-1264-5) contains supplementary material, which is available to authorized users.

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Swanson Implant Arthroplasty of the Wrist in Rheumatoid Arthritis

Cited by 22 publications

References 8 publications

Die rekonstruktive Versorgung des rheumatischen Handgelenks mit Handgelenksprothesen

Die rekonstruktive Versorgung des rheumatischen Handgelenks mit Handgelenksprothesen

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Variation in occupational exposure associated with musculoskeletal complaints: a cross-sectional study among professional bassists

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