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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References
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1531-0914/01/0104-0003$35.00/0
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© 2001 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.