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Advances in Total Wrist Arthroplasty

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Book cover Clinical Management of the Rheumatoid Hand, Wrist, and Elbow

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Abstract

Total wrist fusion (TWF) is still the standard in the treatment of advanced rheumatoid wrist destruction. TWF is a well-established and reliable method, but the position of fusion is not always optimal and difficulties in performing ADL have been reported. Rheumatoid patients like a painless stable wrist, but they prefer keeping a small amount of active wrist motion. Last-generation resurfacing total wrist arthroplasty (TWA) is currently another realistic option due to recent improvements in implant design. Indeed current last-generation resurfacing TWA (KMI Uni 2, Biomet Maestro, SBI Remotion) provide better results and fewer complications when compared to older implants. Several recent studies using different new-generation devices show that TWA can now be considered as another realistic surgical option in selected rheumatoid patients after careful informed consent. This is especially true in patients with bilateral involvement. However, the follow-up of most of these studies remains short, and further experience is needed to confirm this new tendency.

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Authors and Affiliations

  1. Orthopaedics, Herriot Lyon France, 5 Place Arsonval, Lyon, 69437, France

    Guillaume Herzberg MD, PhD

  2. Clinic for Hand Surgery, Gentofte Hospital, University of Copenhagen, Hellerup, Denmark

    Michel E. H. Boeckstyns MD

Authors
  1. Guillaume Herzberg MD, PhD
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  2. Michel E. H. Boeckstyns MD
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Corresponding author

Correspondence to Guillaume Herzberg MD, PhD .

Editor information

Editors and Affiliations

  1. Comp Hand Cen. Sec of PS, Dept of Surg, The University of Michigan Health System, Ann Arbor, Michigan, USA

    Kevin C. Chung

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© 2016 Springer International Publishing Switzerland

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Herzberg, G., Boeckstyns, M.E.H. (2016). Advances in Total Wrist Arthroplasty. In: Chung, K. (eds) Clinical Management of the Rheumatoid Hand, Wrist, and Elbow. Springer, Cham. https://doi.org/10.1007/978-3-319-26660-2_12

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  • DOI: https://doi.org/10.1007/978-3-319-26660-2_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-26658-9

  • Online ISBN: 978-3-319-26660-2

  • eBook Packages: MedicineMedicine (R0)

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