Wrist arthrodesis with intercalated iliac crest graft in mutilans rheumatoid arthritis

Fontaine, C.; Mouliade, Sébastien; Wavreille, G.; Chantelot, Christophe

doi:10.1016/j.main.2014.07.007

Cited by 11 publications

(7 citation statements)

References 38 publications

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“…1. Of the remaining 43 articles, 17 studies reported wrist arthrodesis outcomes, 3,[20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] 24 reported the outcomes from wrist arthroplasty, [9][10][11][12][13][14][15][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52] and 2 undertook a retrospective matched cohort review of arthroplasty versus arthrodesis. 4,5 Results ►Table 1 summarizes the overall patient demographics.…”

Section: Search Strategymentioning

confidence: 99%

Systematic Review of Total Wrist Arthroplasty and Arthrodesis in Wrist Arthritis

2018

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Background End-stage wrist arthritis has traditionally been treated with a total wrist fusion. There is a recent trend toward motion preserving surgery in the form of total wrist replacement. Questions Is there a functional benefit to performing a total wrist replacement instead of a total wrist fusion in patients with end-stage wrist arthritis? Is there any difference in secondary outcome measures including pain, grip strength, and range of motion? Does the risk of adverse events and treatment failure differ between the two techniques? Methods A systematic literature search was performed to identify studies reporting either total wrist arthrodesis or arthroplasty for end-stage wrist arthritis. Studies were systematically screened and assessed for risk of bias and quality. Data were extracted and reviewed. Results A total of 43 studies were included in the review: 17 on arthrodesis, 24 on arthroplasty, and 2 matched cohort studies. This represented 669 index arthrodesis operations in 603 patients, and 1,371 index arthroplasty operations in 1,295 patients. A significant improvement in functional outcome was seen with both interventions. Similar improvements were seen in pain scores, and modest improvements were seen in grip strength. Range of motion following arthroplasty improved to a functional level in two studies. Complication rates were higher after arthroplasty (range: 0.2–9.5%) than those after arthrodesis (range: 0.1–6.1%; p = 0.06). Fourth-generation implants (range 0.1–2.9%) performed better than earlier designs (range: 0.2–8.1%; p = 0.002). Implant revision rates ranged from 3.5 to 52.6%. Fourth-generation prostheses survival rates were 78% at 15 years (Universal 2), 86% at 10 years (Motec), 90% at 9 years (Re-Motion), and 95% at 8 years (Maestro). Conclusion The newer fourth-generation wrist implants appear to be performing better than earlier designs. Both wrist arthrodesis and wrist arthroplasty improve function, pain, and grip strength. The risk of complication following wrist replacements is higher than that after total wrist arthrodesis.

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Section: Search Strategymentioning

confidence: 99%

Systematic Review of Total Wrist Arthroplasty and Arthrodesis in Wrist Arthritis

2018

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“…Klasická je Mannerfeltova metoda (25) nitrodřeňovým hřebem zavedeným diafýzou třetího metakarpu přes karpální kosti vysoko do diafýzy radia a užití dvou skobek v radiokarpální oblasti. Některé techniky užívají kortikospongiózního štěpu z pánve, z tibie, z resekované části ulny nebo skluzného štěpu z distální části radia (6,11,15). Klasické jsou i dlahové techniky, které užívají dorzálně aplikované přemosťující dlahy s autokompresní funkcí bez přídatných štěpů (33) nebo modernější dlahy s uzamykatelnými šrouby.…”

Section: Totální Artrodézyunclassified

Current Options of Rheumatosurgery of the Hand and Wrist

Pech¹,

Vlček²,

Landor³

2019

ACHOT

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Rheumatosurgery is a discipline managing the symptoms of rheumatoid arthritis of the musculoskeletal system. In a vast number of patients this disease starts in the wrist and hand. The portfolio of surgical procedures performed on the skeleton and soft tissues in these regions can be divided into two groups that, however, often times overlap in practice. Commonly, a combination of these surgical interventions is used. The surgical management should commence with prophylactic interventions that aim to slow down the development of rheumatoid deformities. These are followed by reconstructive surgery which shall manage the already developed rheumatoid deformities and their complications. The prophylactic interventions include early and late synovectomy, peritenosynovectomy, tenodeses, tendon transpositions and limited arthrodeses. The reconstructive surgery procedures comprise osteotomy, resection procedures, alloplasties, total arthrodesis and tendon reconstructions.

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“…further studied the use of arthrodesis with an iliac crest graft and fixation with intermedullary pins in 6 patients with mutilans rheumatoid arthritis and major wrist destruction, and found restoration of carpal height, improvement in hand function, and complete fusion in 5 of 6 cases with no major complications. 29 …”

Section: Osteotomy Arthrodesis and Fusion Techniquesmentioning

confidence: 99%

Current trends in the management of trapeziometacarpal arthritis

Eltorai¹,

Han²

2017

Orthop Rev (Pavia)

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The purpose of this update is to report on a variety of topics related to trapeziometacarpal arthritis that have been recently investigated. The keyword trapeziometacarpal arthritis was utilized to query the PubMed database of the U.S. National Library of Medicine. From the resulting list, papers published from the beginning of April 2014 through the beginning of April 2017 were reviewed. The forty-five studies identified are reviewed here and referenced.

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Wrist arthrodesis with intercalated iliac crest graft in mutilans rheumatoid arthritis

Cited by 11 publications

References 38 publications

Systematic Review of Total Wrist Arthroplasty and Arthrodesis in Wrist Arthritis

Systematic Review of Total Wrist Arthroplasty and Arthrodesis in Wrist Arthritis

Current Options of Rheumatosurgery of the Hand and Wrist

Current trends in the management of trapeziometacarpal arthritis

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