Total Wrist Arthroplasty
نویسنده
چکیده
In 1890, Themistocles Gluck performed the first total wrist replacement, implanting an ivory ball-and-socket prosthesis in a 19-year-old male patient with tuberculosis. Although Gluck’s first patients suffered from persistent infection, his subsequent patients demonstrated good long-term results. Despite initial successes, the use of wrist arthroplasty has made slow progress within the orthopaedic arena and, unlike other total joint replacements, remains relatively uncommon. This discrepancy is multifactorial and most likely relates to the complexity of the wrist joint, the difficulty with previous implants, and the success of alternative treatments.
منابع مشابه
A systematic review of total wrist arthroplasty compared with total wrist arthrodesis for rheumatoid arthritis.
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Revision total-wrist arthroplasty has a high incidence of complications. Loosening is a significant problem for the distal implant. Because of the high failure rate of single-pronged distal implants after revision total-wrist arthroplasty, a custom multipronged distal component (biaxial total-wrist implant) was designed for use in patients with deficient bone stock who undergo revision operatio...
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Total wrist arthroplasty preserves motion and improves hand function for daily tasks and lower-demand vocational and a vocational activities. It is often preferable to fusion when both wrists are arthritic. Newer prosthetic designs provide a functional range of motion, better wrist balance,reduced risk of loosening, and better implant stability than older designs. The success of total wrist art...
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