Distal radio-ulnar implant arthroplasty: a systematic review
| Autor: | Grey Giddins, L S Moulton |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Wrist Joint
030222 orthopedics business.industry medicine.medical_treatment Joint Prosthesis Dentistry 030230 surgery Wrist Wrist Injuries Arthroplasty 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Treatment Outcome medicine Humans Surgery Implant Arthroplasty Replacement Joint Diseases business |
| Zdroj: | The Journal of hand surgery, European volume. 42(8) |
| ISSN: | 2043-6289 |
| Popis: | The use of implant arthroplasty in the hand and wrist is increasing, often with little evidence of outcomes in the literature. We therefore undertook a systematic review of the outcomes of distal radio-ulnar joint arthroplasties following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Papers were assessed for outcomes, implant survival and methodological quality. Fourteen papers assessed ulna head replacements. The implant survival rate was 93% at a mean follow-up of 45 months. One paper assessed a partial ulna head replacement. Fourteen papers assessed total distal radio-ulnar joint replacements; all but two used the Aptis prosthesis. These implants had a survival rate of 97% at a mean of 56 months. Complications rates were 28% in both groups, and many were major. Although these data are impressive, worldwide there are many more implants placed and not followed up. All studies were level IV and V studies with low Coleman scores. This systematic review demonstrates that implant arthroplasty for the distal radio-ulnar joint has produced acceptable results in small numbers of patients. Whilst these short term outcomes are encouraging, the indications should be carefully considered and there should be proper consideration of the potential for later failure.Level of evidence: III |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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