Failure of the hinge mechanism of a trispherical total wrist arthroplasty: A case report and review of the literature

We report a patient with rheumatoid arthritis who developed late catastrophic failure of the hinge mechanism of her trispherical total wrist arthroplasty. This was associated with synovitis secondary to wear debris from Titanium, cement, and polyethylene which produced exuberant flexor and extensor...

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Veröffentlicht in:	The Journal of hand surgery (American ed.) 1999-01, Vol.24 (1), p.156-160
Hauptverfasser:	O'Flynn, Hugh M., Rosen, Alan, Weiland, Andrew J.
Format:	Artikel
Sprache:	eng
Schlagworte:	Arthritis, Rheumatoid - surgery Arthroplasty, Replacement Biological and medical sciences Female Humans Joint Prosthesis - adverse effects Medical sciences Middle Aged Orthopedic surgery Prosthesis Failure Radiography Reoperation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Synovitis - etiology Total wrist arthroplasty Wrist Joint - diagnostic imaging Wrist Joint - surgery
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Beschreibung
Zusammenfassung:	We report a patient with rheumatoid arthritis who developed late catastrophic failure of the hinge mechanism of her trispherical total wrist arthroplasty. This was associated with synovitis secondary to wear debris from Titanium, cement, and polyethylene which produced exuberant flexor and extensor tendon synovitis and median nerve compression. (J Hand Surg 1999;24A:156–160. Copyright © 1999 by the American Society for Surgery of the Hand.)
ISSN:	0363-5023 1531-6564
DOI:	10.1053/jhsu.1999.jhsu24a0156