Vol 8, No 3 (2022)
Case report
Published online: 2022-09-30
Wrist arthroplasty, good alternative for rheumatoid wrist: Case report with literature review
DOI: 10.5603/RF.2022.0019
Rheumatology Forum 2022;8(3):129-134.
Abstract
Within the hand, the wrist is the most affected joint by rheumatoid arthritis (RA). Wrist fusion (WF) and wrist arthroplasty (WA) are solutions for severe arthritis of the wrist. WA decreases pain, and, contrary to WF, preserves motion. Reported clinical results of modern prosthesis constructs are good and the patients are satisfied. This research presents a patient with RA treated with WA. The follow-up is 13 years. There were 2 further synovectomies. Some bone erosion was observed. Apart from that, the patient is satisfied with WA. It seems that WA should be considered earlier in the treatment scheme in patients with RA.
Keywords: wrist arthroplastywrist arthrosisrheumatoid wrist
References
- Kozlow JH, Chung KC. Current concepts in the surgical management of rheumatoid and osteoarthritic hands and wrists. Hand Clin. 2011; 27(1): 31–41.
- Rizzo M, Cooney WP. Current concepts and treatment for the rheumatoid wrist. Hand Clin. 2011; 27(1): 57–72.
- Schmidt I. A critical appraisal to the decision by the company Zimmer Biomet to withdraw the MaestroTM Wrist Reconstructive System from the marketplace. Trauma Emerg Care. 2018; 3(2).
- Schmidt I. Functional outcomes after salvage procedures for wrist trauma and arthritis (four-corner fusion, proximal row carpectomy, total wrist arthroplasty, total wrist fusion, wrist denervation): A review of literature. The Open Orthopaedics Journal. 2019; 13(1): 217–231.
- Boeckstyns MEH, Herzberg G. Current European practice in wrist arthroplasty. Hand Clin. 2017; 33(3): 521–528.
- Pfanner S, Munz G, Guidi G, et al. Universal 2 wrist arthroplasty in rheumatoid arthritis. J Wrist Surg. 2017; 6(3): 206–215.
- Nair R. Review article: Total wrist arthroplasty. J Orthop Surg (Hong Kong). 2014; 22(3): 399–405.
- Berber O, Garagnani L, Gidwani S. Systematic review of total wrist arthroplasty and arthrodesis in wrist arthritis. J Wrist Surg. 2018; 7(5): 424–440.
- Nydick JA, Greenberg SM, Stone JD, et al. Clinical outcomes of total wrist arthroplasty. J Hand Surg Am. 2012; 37(8): 1580–1584.
- Radmer S, Andresen R, Sparmann M. Total wrist arthroplasty in patients with rheumatoid arthritis. J Hand Surg Am. 2003; 28(5): 789–794.
- Giwa L, Siddiqui A, Packer G. Motec wrist arthroplasty: 4 years of promising results. J Hand Surg Asian Pac Vol. 2018; 23(3): 364–368.
