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Retrospective study of 54 cases of wrist denervation.
Hand Surg Rehabil
January 2025
AOU di Modena - SC Chirurgia della Mano, Italy.
Most patients with post-traumatic and/or degenerative wrist arthritis present with pain and limitation of activities of daily living. Wrist denervation using a two-incision technique is an alternative to proximal row carpectomy and partial or total wrist arthrodesis. The purpose of this study was to evaluate whether two-incision denervation is a valid procedure for reducing pain in wrist arthritis of different etiologies.
View Article and Find Full Text PDFTotal wrist arthroplasty: recent advances and current recommendations.
J Hand Surg Eur Vol
January 2025
Orthopaedic Department, Martina Hansens Hospital, Norway.
The latest generation of wrist arthroplasties provides good clinical function and pain relief with an acceptable revision/reoperation rate. The procedure is complex and technically demanding, both for the surgeon and the patient. The available implants (with the exception of one) have not been developed or refined in the last decade, which reduces the versatility and ability to adapt to specific patient anatomy, to manage implant/treatment problems and to perform successful revisions.
View Article and Find Full Text PDFTotal wrist arthrodesis in patients with advanced osteoarthritis: current implants and outcomes.
J Hand Surg Eur Vol
January 2025
Hand & Wrist Unit, Genolier Campus, Vaud, Switzerland.
Article Synopsis
- Total wrist arthrodesis is an option for treating severe wrist osteoarthritis after other treatments fail, serving as a last-resort procedure.
- Patients generally report satisfaction post-surgery, but may still experience pain and limited wrist movement.
- Frequent complications arise, often relating to incomplete bone fusion or hardware issues, and further research is needed to determine the best implant and treatment approach.
Revision wrist arthroplasty strategies.
J Hand Surg Eur Vol
January 2025
Wrightington Hospital, Wigan, Lancashire, UK.
Wrist arthrodesis performed to salvage a failed total wrist arthroplasty can be challenging owing to bone loss and poor soft tissue quality. This article focuses on the evidence base and our experience as a tertiary unit in managing this cohort of patients. A systematic and meticulous approach is required to attempt to minimize complications.
View Article and Find Full Text PDFPyrocardan® implant interposition in the trapeziometacarpal joint: outcomes at a minimum 10 years' follow-up.
Hand Surg Rehabil
December 2024
Institut de la Main Nantes Atlantique, Boulevard Charles-Gautier, 44800 Saint-Herblain, France.
Objective: We present long-term results for the Pyrocardan®, a pyrocarbon trapeziometacarpal interposition implant used for the treatment of osteoarthritis of the thumb.
Methods: Between March 2009 and May 2013, 199 arthroplasties were performed in a single hand center, in 184 patients by 6 hand surgeons. 107 implants were followed up for a mean 137 months (range, 120 to 168 months).
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