Revision surgery for failed total wrist arthroplasty - 04/12/15
Résumé |
Introduction |
Third generation implants for total wrist arthroplasty (TWA) has now been available for more than 17 years. Consequently, an increasing number need revision.
Aims of the study |
To report on our experience with revision surgery after failed TWA.
Methods |
We prospectively and consecutively collected data on all TWA's that were revised in two clinics and made a general follow-up examination in May–June 2015.
Findings |
We revised a total of 19 cases - 8 with rheumatoid arthritis, 11 with other diagnoses. Twelve were revised to a remotion TWA, 1 to an Amandys interposition implant and 6 were fused. At final follow-up, at an average of 31 months after operation, median improvement in QuickDASH score was 25 points, median improvement in VAS score for pain was 50 points. Three revisions TWA had been re-revised and 1 was loose and scheduled for re-revision.
There was no difference in QuickDASH- or in VAS score between patients with fusion and patients with TWA.
Conclusions |
Both fusion and revision to a new TWA are feasible after a failed TWA. Revision to a new TWA may require supplementary major procedures.
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Vol 34 - N° 6
P. 355 - décembre 2015 Retour au numéro
Article précédent
- Disillusioning midterm results after UNI 2 total wrist arthroplasty in RA Patients
- Martin Chochole
- Résultats préliminaires de l’arthroplastie de l’articulation interphalangienne proximale par prothèse TACTYS
- Lionel Athlani, Etienne Gaisne, Philippe Bellemere
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