Management of the failed biaxial wrist replacement
Nine cases of failed biaxial wrist replacement underwent revision surgery and subsequent clinical and radiographic assessment at a mean follow-up of 28 months. Clinical assessment included the hospital for special surgery (HSS) and activities of daily living scoring systems. Five patients had a revi...
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| Veröffentlicht in: | Journal of hand surgery, British volume British volume, 2005-06, Vol.30 (3), p.248-251 |
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| container_title | Journal of hand surgery, British volume |
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| creator | Talwalkar, S.C. Hayton, M.J. Trail, I.A. Stanley, J.K. |
| description | Nine cases of failed biaxial wrist replacement underwent revision surgery and subsequent clinical and radiographic assessment at a mean follow-up of 28 months. Clinical assessment included the hospital for special surgery (HSS) and activities of daily living scoring systems. Five patients had a revision biaxial wrist replacement, three had wrist fusions and two underwent an excision arthroplasty. The mean HSS score was 73 for the revision biaxial replacements, 63 for the wrist fusions and 92 for the excision arthroplasties. The mean activities for daily living score was 16 for the revision biaxial replacements, 14 for the wrist fusion and 20 for the excision arthroplasties. Despite the experience of implant failure, six patients would still choose a primary wrist replacement again. All patients in this small series appear to have had good clinical outcomes. Revision to another wrist replacement appears no worse than a wrist fusion in the short term and patients value the preservation of movement that an implant offers. |
| doi_str_mv | 10.1016/j.jhsb.2004.10.003 |
| format | Article |
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Clinical assessment included the hospital for special surgery (HSS) and activities of daily living scoring systems. Five patients had a revision biaxial wrist replacement, three had wrist fusions and two underwent an excision arthroplasty. The mean HSS score was 73 for the revision biaxial replacements, 63 for the wrist fusions and 92 for the excision arthroplasties. The mean activities for daily living score was 16 for the revision biaxial replacements, 14 for the wrist fusion and 20 for the excision arthroplasties. Despite the experience of implant failure, six patients would still choose a primary wrist replacement again. All patients in this small series appear to have had good clinical outcomes. 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Clinical assessment included the hospital for special surgery (HSS) and activities of daily living scoring systems. Five patients had a revision biaxial wrist replacement, three had wrist fusions and two underwent an excision arthroplasty. The mean HSS score was 73 for the revision biaxial replacements, 63 for the wrist fusions and 92 for the excision arthroplasties. The mean activities for daily living score was 16 for the revision biaxial replacements, 14 for the wrist fusion and 20 for the excision arthroplasties. Despite the experience of implant failure, six patients would still choose a primary wrist replacement again. All patients in this small series appear to have had good clinical outcomes. Revision to another wrist replacement appears no worse than a wrist fusion in the short term and patients value the preservation of movement that an implant offers.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Arthritis, Rheumatoid - surgery</subject><subject>Arthrodesis - methods</subject><subject>Arthroplasty, Replacement</subject><subject>biaxial</subject><subject>Bone Nails</subject><subject>Bone Plates</subject><subject>Bone Transplantation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Osteoarthritis - surgery</subject><subject>Patient Satisfaction</subject><subject>Prosthesis Failure</subject><subject>Range of Motion, Articular - physiology</subject><subject>Reoperation</subject><subject>revision</subject><subject>Treatment Outcome</subject><subject>Wrist Joint - physiopathology</subject><subject>Wrist Joint - surgery</subject><subject>wrist replacement</subject><issn>0266-7681</issn><issn>1532-2211</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctOwzAQRS0EgvL4ARYoK3Zpx3ZipxIbqHhVRSyAteXYE3CUJsVOefw9Lq1AbFiNNDr3SnOGkGMKQwpUjOph_RLKIQPI4mIIwLfIgOacpYxRuk0GwIRIpSjoHtkPoQYAmstsl-zRvBCMi2xA2J1u9TPOse2Trkr6F0wq7Rq0Sen0h9NN8u5d6BOPi0abb-6Q7FS6CXi0mQfk6erycXKTzu6vbyfns9RkGe9TDkXFrcxtDlmRSbTIAZkVMDaS4phKy7Q1JbMMytLKcZmNaS6ELCBnFfCCH5DTde_Cd69LDL2au2CwaXSL3TKoiFImJUSQrUHjuxA8Vmrh3Vz7T0VBrUypqZrePFyolanVLpqKoZNN-7Kco_2NbNREYLQGQvSj6m7p23jt_5Vn6wRGK28OvQrGYWvQOo-mV7ZzP_FarX73J_4FnCmGCw</recordid><startdate>20050601</startdate><enddate>20050601</enddate><creator>Talwalkar, S.C.</creator><creator>Hayton, M.J.</creator><creator>Trail, I.A.</creator><creator>Stanley, J.K.</creator><general>Elsevier Ltd</general><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050601</creationdate><title>Management of the failed biaxial wrist replacement</title><author>Talwalkar, S.C. ; Hayton, M.J. ; Trail, I.A. ; Stanley, J.K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c443t-308f3d75d504847ede30e2d609c71e917d2adcb2d20bbd79b49156678052f0383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Arthritis, Rheumatoid - surgery</topic><topic>Arthrodesis - methods</topic><topic>Arthroplasty, Replacement</topic><topic>biaxial</topic><topic>Bone Nails</topic><topic>Bone Plates</topic><topic>Bone Transplantation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Osteoarthritis - surgery</topic><topic>Patient Satisfaction</topic><topic>Prosthesis Failure</topic><topic>Range of Motion, Articular - physiology</topic><topic>Reoperation</topic><topic>revision</topic><topic>Treatment Outcome</topic><topic>Wrist Joint - physiopathology</topic><topic>Wrist Joint - surgery</topic><topic>wrist replacement</topic><toplevel>online_resources</toplevel><creatorcontrib>Talwalkar, S.C.</creatorcontrib><creatorcontrib>Hayton, M.J.</creatorcontrib><creatorcontrib>Trail, I.A.</creatorcontrib><creatorcontrib>Stanley, J.K.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hand surgery, British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Talwalkar, S.C.</au><au>Hayton, M.J.</au><au>Trail, I.A.</au><au>Stanley, J.K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of the failed biaxial wrist replacement</atitle><jtitle>Journal of hand surgery, British volume</jtitle><addtitle>J Hand Surg Br</addtitle><date>2005-06-01</date><risdate>2005</risdate><volume>30</volume><issue>3</issue><spage>248</spage><epage>251</epage><pages>248-251</pages><issn>0266-7681</issn><eissn>1532-2211</eissn><abstract>Nine cases of failed biaxial wrist replacement underwent revision surgery and subsequent clinical and radiographic assessment at a mean follow-up of 28 months. Clinical assessment included the hospital for special surgery (HSS) and activities of daily living scoring systems. Five patients had a revision biaxial wrist replacement, three had wrist fusions and two underwent an excision arthroplasty. The mean HSS score was 73 for the revision biaxial replacements, 63 for the wrist fusions and 92 for the excision arthroplasties. The mean activities for daily living score was 16 for the revision biaxial replacements, 14 for the wrist fusion and 20 for the excision arthroplasties. Despite the experience of implant failure, six patients would still choose a primary wrist replacement again. All patients in this small series appear to have had good clinical outcomes. Revision to another wrist replacement appears no worse than a wrist fusion in the short term and patients value the preservation of movement that an implant offers.</abstract><cop>London, England</cop><pub>Elsevier Ltd</pub><pmid>15862364</pmid><doi>10.1016/j.jhsb.2004.10.003</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Journal of hand surgery, British volume, 2005-06, Vol.30 (3), p.248-251 |
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| language | eng |
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| subjects | Activities of Daily Living Aged Arthritis, Rheumatoid - surgery Arthrodesis - methods Arthroplasty, Replacement biaxial Bone Nails Bone Plates Bone Transplantation Female Follow-Up Studies Humans Male Osteoarthritis - surgery Patient Satisfaction Prosthesis Failure Range of Motion, Articular - physiology Reoperation revision Treatment Outcome Wrist Joint - physiopathology Wrist Joint - surgery wrist replacement |
| title | Management of the failed biaxial wrist replacement |
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