A systematic review of outcomes of wrist arthrodesis and wrist arthroplasty in patients with rheumatoid arthritis
| Autor: | Bashar Alolabi, Brittany Dennis, Chetan Gohal, Edward Perera, Xi Ming Zhu, Moin Khan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
rheumatoid arthritis
Wrist Joint musculoskeletal diseases medicine.medical_specialty Arthrodesis medicine.medical_treatment MEDLINE Arthritis Wrist Arthroplasty Arthritis Rheumatoid 03 medical and health sciences Grip strength 0302 clinical medicine medicine Humans 030212 general & internal medicine wrist fusion 030222 orthopedics business.industry wrist replacement medicine.disease body regions Treatment Outcome medicine.anatomical_structure arthritis Rheumatoid arthritis Physical therapy Full Length Articles Surgery business Complication Follow-Up Studies |
| Zdroj: | The Journal of Hand Surgery, European Volume |
| ISSN: | 2043-6289 1753-1934 |
| DOI: | 10.1177/1753193420953683 |
| Popis: | Surgical management of end-stage rheumatoid wrists is a contentious topic. The standard surgical treatment has traditionally been wrist arthrodesis. Wrist arthroplasty, however, offers an alternative that preserves some wrist motion. A systematic review of MEDLINE, EMBASE and CENTRAL databases was conducted. Data from 23 studies representing 343 cases of wrist arthrodesis and 618 cases of wrist arthroplasty were included. Complication rates were 17% for arthrodesis and 19% for arthroplasty, and both procedures were effective at alleviating pain and improving grip strength. Functional assessment by Disabilities of the Arm, Shoulder, and Hand and Patient-Related Wrist Evaluation of arthroplasty patients revealed clinically meaningful functional improvement compared with preoperative measurements. In contrast to previously published findings both procedures demonstrated comparable complication rates. While this can be speculated to be from advancements in prosthetics, robust long-term follow-up data on wrist arthroplasty are not available yet. |
| Databáze: | OpenAIRE |
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