Total Wrist Arthroplasty as a Motion-Sparing Option for Distal Radius Malunion in a Patient of Advanced Age: A Case Report.
| Autor: | Cooke HL; Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia., Schaeffer CV, Gabig AM, Karzon A, Savani U, Gottschalk MB, Wagner ER |
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| Jazyk: | angličtina |
| Zdroj: | JBJS case connector [JBJS Case Connect] 2023 Aug 17; Vol. 13 (3). Date of Electronic Publication: 2023 Aug 17 (Print Publication: 2023). |
| DOI: | 10.2106/JBJS.CC.23.00167 |
| Abstrakt: | Case: A 62-year-old woman presented with wrist pain secondary to a distal radius fracture malunion 4 months after a fall onto an outstretched hand. She was not an ideal candidate for osteotomy and bone graft because of the degree of displacement and osteoporosis, so after nonoperative treatment was unsuccessful, she was offered total wrist arthroplasty (TWA) or arthrodesis and opted for TWA. Conclusion: At 14-month follow-up, the patient reported significant improvement in her pain and function. The current generation of TWA implants may allow use in the management of symptomatic distal radius malunions in older, low-demand patients. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C177). (Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.) |
| Databáze: | MEDLINE |
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