Four-Year Outcomes of Midcarpal Hemiarthroplasty for Wrist Arthritis
| Autor: | Marie Anneberg, Scott W. Wolfe, Joseph J. Crisco, Greg Packer |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
musculoskeletal diseases
Adult Male Wrist Joint medicine.medical_specialty medicine.medical_treatment Joint Prosthesis 030230 surgery Wrist Risk Assessment Severity of Illness Index Cohort Studies 03 medical and health sciences Grip strength 0302 clinical medicine Dash Medicine Internal fixation Humans Orthopedics and Sports Medicine Range of Motion Articular Aged Pain Measurement Retrospective Studies 030222 orthopedics Carpal Joints Hand Strength business.industry Arthritis Middle Aged Arthroplasty Surgery body regions medicine.anatomical_structure Treatment Outcome Midcarpal joint Physical therapy Female Hemiarthroplasty business Range of motion Manipulation under anesthesia Follow-Up Studies |
| Zdroj: | The Journal of hand surgery. 42(11) |
| ISSN: | 1531-6564 |
| Popis: | Purpose The purpose of this study was to review the average 4-year outcomes of a cohort of patients with wrist arthritis, treated by a single surgeon with a novel prosthetic hemiarthroplasty of the midcarpal joint. We hypothesized that midcarpal hemiarthroplasty would improve range of motion and grip strength of patients with wrist arthritis, with a complication profile comparable with that of alternative solutions for wrist arthritis. Methods We reviewed a series of 20 patients treated with a midcarpal hemiarthroplasty at an average of 4 years following surgery. Patients were evaluated objectively with grip strength, wrist range of motion, serial radiographs, and subjectively surveyed with Disabilities of the Arm, Shoulder, and Hand (DASH) and Mayo scores. Results Range of motion increased by a mean 33° in flexion-extension and 10° in radial-ulnar deviation compared with preoperative range of motion. Mean grip strength improved to 20.8 kg from 14.1 kg, and Mayo and DASH scores also significantly improved. Three patients had a manipulation under anesthesia for stiffness. One patient required open reduction internal fixation of an unstable fourth carpometacarpal joint after falling. Two patients were revised to a total wrist arthroplasty and 1 to a wrist fusion. Conclusions Midcarpal hemiarthroplasty provides improved wrist range of motion, grip strength, and patient-reported outcome scores compared with preoperative values, with a complication profile comparable with that of other surgical options for patients with wrist arthritis. Advantages of midcarpal arthroplasty include retention of the native distal carpal row, preservation of midcarpal motion, as well as the option for conversion to a total wrist arthroplasty should revision be required. Type of study/level of evidence Therapeutic IV. |
| Databáze: | OpenAIRE |
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