Combined radiocarpal arthrodesis and midcarpal (lunocapitate) arthroplasty for treatment of rheumatoid arthritis of the wrist |
| |
| Authors: | J Taleisnik |
| |
| Affiliation: | 1. Sports Medicine Center, Department of Orthopaedic Surgery, Harvard Medical School at Massachusetts General Hospital, Boston, 175 Cambridge St, MA, 02114, USA;2. Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, the Netherlands;3. Department of Orthopaedics and Trauma, Royal Adelaide Hospital, North Terrace, SA, 5000 Adelaide, Australia;4. Department of Orthopaedics and Trauma, Flinders Medical Centre, Flinders Drive, Bedford Pk 5042, Adelaide, Australia;1. “Petru Poni” Institute of Macromolecular Chemistry, Aleea Gr. Ghica Voda 41A, Iasi, 700487, Romania;2. Centre of Advanced Research in Bionanoconjugates and Biopolymers, “Petru Poni” Institute of Macromolecular Chemistry, Aleea Gr. Ghica Voda 41A, Iasi, 700487, Romania;3. Metropolitan Center of Research T.A.B.O.R, The Metropolitanate of Moldavia and Bukovina, Closca 9, 700066, Iasi, Romania;1. Department of Orthopaedic Surgery, Hospital for Joint Diseases, NYU Langone Medical Center, United States;2. Department of Orthopaedic Surgery, NYU Langone Medical Center, United States;3. Department of Simulation Center, New York Simulation Center for the Health Sciences, NYU Langone Medical Center, United States;4. NY Simulation Center for the Health Sciences, NYU Langone Medical Center, United States;1. Division of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland;2. Department of Teaching, Research and Development, Zurich, Switzerland;4. Department of Hand Surgery, Schulthess Klinik, Zurich, Switzerland;3. Hand Surgery Seefeld, Zurich, Switzerland;1. Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre Chirurgical Emile Gallé, Nancy University Hospital, Nancy, France;2. IADI Laboratory, INSERM U1254, University of Lorraine, Nancy, France;3. Guilloz Imaging Department, Central Hospital, Nancy University Hospital, Nancy, France;1. Department of Orthopaedic Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA;2. Department of Orthopedic Surgery, Adult Reconstruction and Joint Replacement, Hospital for Special Surgery, New York, NY, USA |
| |
| Abstract: | Arthroplasties for the wrist with rheumatoid arthritis are usually revised for the articulation between radius and carpus. The midcarpal joint is disregarded although it remains structurally better preserved and is therefore better suited for the preservation of stable motion. When the midcarpal surfaces are satisfactory, a radio-scapho-lunate fusion, accompanied by a midcarpal synovectomy, is an excellent procedure. When the midcarpal surfaces, particularly the head of the capitate, are also destroyed, the tendency has been to either perform a pan-arthrodesis, or to insert a wrist endo-prosthesis. For these severely unstable and destroyed wrists, a stabilization of the radiocarpal joint by arthrodesis, combined with preservation of motion at the midcarpal level by resection of the damaged head of the capitate and its replacement with a small implant has been done. This procedure has allowed all patients to retain a functional range of motion and to experience satisfactory relief of pain. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
