R Lirette1, P Kinnard. 1. Department of Orthopedic Surgery, Centre hospitalier de l'université Laval, Sante-Foy, Que.
Abstract
OBJECTIVE: To judge the outcome of total wrist arthroplasty. DESIGN: A retrospective study of 13 patients. SETTING: A university hospital. PATIENTS: Seventeen patients with stage III or IV rheumatoid arthritis of the wrist. Only 13 patients were studied because 3 died and 1 was lost to follow-up. INTERVENTION: Biaxial total wrist arthroplasty (15 procedures). MAIN OUTCOME MEASURES: Clinical assessment and the Hospital for Special Surgery scoring system and radiologic review. RESULTS: Good or excellent results were achieved in all patients after an average follow-up of 54 months. CONCLUSION: Biaxial total wrist arthroplasty is a reasonable treatment in rheumatoid patients when preservation of wrist motion is critical.
OBJECTIVE: To judge the outcome of total wrist arthroplasty. DESIGN: A retrospective study of 13 patients. SETTING: A university hospital. PATIENTS: Seventeen patients with stage III or IV rheumatoid arthritis of the wrist. Only 13 patients were studied because 3 died and 1 was lost to follow-up. INTERVENTION: Biaxial total wrist arthroplasty (15 procedures). MAIN OUTCOME MEASURES: Clinical assessment and the Hospital for Special Surgery scoring system and radiologic review. RESULTS: Good or excellent results were achieved in all patients after an average follow-up of 54 months. CONCLUSION: Biaxial total wrist arthroplasty is a reasonable treatment in rheumatoidpatients when preservation of wrist motion is critical.