Osteoarthritis of the wrist presents complex surgical challenges. A wide variety of surgical options are available when conservative management fails to provide adequate pain relief. Despite advancements in management, such as modifications of partial wrist arthrodesis techniques and increasing use of total wrist replacements, in most scenarios there is no single preferred option. The surgeon's role is crucial in assessing the patient and creating a bespoke treatment strategy that will provide an optimal outcome. This article presents an approach to management of the degenerate wrist based on current evidence.
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http://dx.doi.org/10.1177/17531934241296758 | DOI Listing |
J Hand Surg Eur Vol
January 2025
Hand & Wrist Unit, Genolier Campus, Vaud, Switzerland.
J Hand Surg Eur Vol
January 2025
Wrightington Hospital, Hall Lane, Appley Bridge, Wigan, Lancashire, UK.
Osteoarthritis of the wrist presents complex surgical challenges. A wide variety of surgical options are available when conservative management fails to provide adequate pain relief. Despite advancements in management, such as modifications of partial wrist arthrodesis techniques and increasing use of total wrist replacements, in most scenarios there is no single preferred option.
View Article and Find Full Text PDFJ 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 PDFJ Hand Surg Eur Vol
January 2025
Institut de la main Nantes-Atlantique, Saint-Herblain, France.
Osteoarthritis of the scaphotrapeziotrapezoidal joint is frequent but often pain-free or well tolerated with non-surgical treatment. Surgical options are numerous and none seems to have clear evidence of superiority. In addition to well-established procedures, such as scaphotrapeziotrapezoidal joint arthrodesis, distal scaphoid resection and trapeziectomy, more recent surgical techniques have been reported.
View Article and Find Full Text PDFBone Joint J
January 2025
Department of Orthopaedics, Kyoto City Hospital, Kyoto, Japan.
Aims: Overall sagittal flexion is restricted in patients who have undergone both lumbar fusion and total hip arthroplasty (THA). However, it is not evident to what extent this movement is restricted in these patients and how this influences quality of life (QoL). The purpose of this study was to determine the extent to which hip-lumbar mobility is decreased in these patients, and how this affects their QoL score.
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