Michel Levadoux1, Régis Legré. 1. Department of Hand Plastic and Reconstructive Surgery, University Hospital Center of La Conception, Marseille, France.
Abstract
PURPOSE: To analyze the functional and radiologic results after Destot arthroplasty, a wrist prosthesis designed for posttraumatic arthritis, and to define the indications for the use of the implant. METHODS: Using the Meuli point score system, 28 Destot total-wrist arthroplasties in 25 patients with stage 2 or 3 scaphoid nonunion advanced collapse and scapholunate advanced collapse were evaluated for 12 to 96 months after surgery. RESULTS: The overall ratings of the study group were excellent in 17 cases, good in 6, fair in 1, and poor in 4. Eighty-four percent showed improved range of motion and grip strength. Four patients experienced postoperative complications. No imbalance or dislocation was noted after surgery. CONCLUSIONS: The Destot implant seems to be a good solution to restore functional range of motion after posttraumatic wrist arthritis when arthrodesis is required by nonmanual laborers older than 50 years of age.
PURPOSE: To analyze the functional and radiologic results after Destot arthroplasty, a wrist prosthesis designed for posttraumatic arthritis, and to define the indications for the use of the implant. METHODS: Using the Meuli point score system, 28 Destot total-wrist arthroplasties in 25 patients with stage 2 or 3 scaphoid nonunion advanced collapse and scapholunate advanced collapse were evaluated for 12 to 96 months after surgery. RESULTS: The overall ratings of the study group were excellent in 17 cases, good in 6, fair in 1, and poor in 4. Eighty-four percent showed improved range of motion and grip strength. Four patients experienced postoperative complications. No imbalance or dislocation was noted after surgery. CONCLUSIONS: The Destot implant seems to be a good solution to restore functional range of motion after posttraumatic wrist arthritis when arthrodesis is required by nonmanual laborers older than 50 years of age.
Authors: Michel E H Boeckstyns; Guillaume Herzberg; Allan Ibsen Sørensen; Peter Axelsson; Karsten Krøner; Philippe A Liverneaux; Laurent Obert; Søren Merser Journal: J Wrist Surg Date: 2013-11
Authors: Jörg Eschweiler; Jianzhang Li; Valentin Quack; Björn Rath; Alice Baroncini; Frank Hildebrand; Filippo Migliorini Journal: Life (Basel) Date: 2022-03-11