Abstract
Secondary osteoarthrosis of the wrist typically develops after intra-articular distal radius fractures with articular incongruity (step-off) of 1–2 mm or more or with an associated rupture of the scapholunate ligament. If the condition is painful and conservative measures fail, surgical treatment may be necessary. Total wrist fusion is the standard procedure but total- or hemi-wrist arthroplasty may also be used. Other motion preserving solutions are feasible, if the midcarpal joint is normal: total or partial radiocarpal fusion or a modified proximal row carpectomy, depending on the condition of the cartilage in the radioscaphoid fossa.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Adey L, Ring D, Jupiter JB. Health status after total wrist arthrodesis for posttraumatic arthritis. J Hand Surg Am. 2005;30(5):932–6.
Bellemere P, Maes-Clavier C, Loubersac T, Gaisne E, Kerjean Y. Amandys((R)) implant: novel pyrocarbon arthroplasty for the wrist. Chir Main. 2012; 31(4):176–87.
Catalano 3rd LW, Cole RJ, Gelberman RH, Evanoff BA, Gilula LA, Borrelli Jr J. Displaced intra-articular fractures of the distal aspect of the radius. Long-term results in young adults after open reduction and internal fixation. J Bone Joint Surg Am. 1997; 79(9):1290–302.
Fernandez JJ, Gruen GS, Herndon JH. Outcome of distal radius fractures using the short form 36 health survey. Clin Orthop Relat Res. 1997;341:36–41.
Garcia-Elias M, Lluch A, Ferreres A, Papini-Zorli I, Rahimtoola ZO. Treatment of radiocarpal degenerative osteoarthritis by radioscapholunate arthrodesis and distal scaphoidectomy. J Hand Surg Am. 2005; 30(1):8–15.
Herzberg G, Boeckstyns M, Ibsen Sørensen A, Axelsson P, Kroener K, Liverneaux P, Obert L, Merser S. “Remotion” total wrist arthroplasty: preliminary results of a prospective international multicenter study of 215 cases. J Wrist Surg. 2012;01(01):17–22.
Houshian S, Schroder HA. Wrist arthrodesis with the AO titanium wrist fusion plate: a consecutive series of 42 cases. J Hand Surg Br. 2001;26(4):355–9.
Knirk JL, Jupiter JB. Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg Am. 1986;68(5):647–59.
McGuire DT, Bain GI. Radioscapholunate fusions. J Wrist Surg. 2012;1(2):135–40.
Meads BM, Scougall PJ, Hargreaves IC. Wrist arthrodesis using a Synthes wrist fusion plate. J Hand Surg Br. 2003;28(6):571–4.
Muhldorfer M, Hohendorff B, Prommersberger KJ, van Schoonhoven J. Medium-term results after radioscapholunate fusion for post-traumatic osteoarthritis of the wrist]. Handchir Mikrochir Plast Chir. 2009; 4(3):148–55.
Murphy DM, Khoury JG, Imbriglia JE, Adams BD. Comparison of arthroplasty and arthrodesis for the rheumatoid wrist. J Hand Surg Am. 2003; 28(4):570–6.
Nagy L, Buchler U. Long-term results of radioscapholunate fusion following fractures of the distal radius. J Hand Surg Br. 1997;22(6):705–10.
Roux JL. [Replacement and resurfacing prosthesis of the distal radius: a new therapeutic concept]. Chir Main. 2009;28(1):10–7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Boeckstyns, M.E.H. (2014). Secondary Osteoarthrosis: Partial or Total Arthrodesis Versus Wrist Arthroplasty. In: Hove, L., Lindau, T., Hølmer, P. (eds) Distal Radius Fractures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54604-4_41
Download citation
DOI: https://doi.org/10.1007/978-3-642-54604-4_41
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-54603-7
Online ISBN: 978-3-642-54604-4
eBook Packages: MedicineMedicine (R0)