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Research Article| Volume 1, ISSUE 4, P236-248, November 2001

Total wrist arthroplasty

  • Brian D Adams
    Correspondence
    Address reprint requests to Professor Brian D. Adams, MD, Department of Orthopedic Surgery, Department of Biomedical Engineering, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242
    Affiliations
    Department of Orthopedic Surgery and the Department of Biomedical Engineering, University of Iowa, Iowa City, IA
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      Abstract

      Although surgeons typically prefer arthrodesis for the treatment of severe wrist arthritis, the resulting sacrificed motion may significantly impair function, especially when multiple joints in the extremity are affected by arthritis. Total wrist arthroplasty enhances the performance of daily activities and is preferred by rheumatoid patients to arthrodesis. Historically, wrist replacement has had an unacceptable complication rate, particularly involving wrist imbalance and implant loosening. Recent developments in prosthetic design have substantially improved the performance and durability of wrist replacement. When performed technically well in properly selected patients, total wrist arthroplasty provides a functional, durable wrist and high patient satisfaction. Copyright © 2001 by the American Society for Surgery of the Hand
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