Patient related functional outcome after total wrist arthroplasty: a single center study of 206 cases
2015 (English)In: Hand Surgery, ISSN 0218-8104, Vol. 20, no 1, 81Article in journal (Refereed) Published
Objectives: To prospectively evaluate patient related outcome measures after total wrist arthroplasty (TWA) using four different total wrist implants operated at a single referral center in Sweden.
Methods: 206 primary TWAs were assessed preoperatively and after one year postoperatively with respect to the following eight outcome measures: Range of motion (flexion/extension, radial/ulnar deviation, pronation/supination), hand grip strength, Canadian Occupational Performance Measure (COPM), performance and satisfaction, Visual Analog Scale (VAS) pain scores at rest and in activity.
Results: The Maestro TWA had a significantly greater improvement of radial/ulnar deviation than the Biax and Remotion TWAs. COPM performance and satisfaction improved more for the Maestro and Universal 2 prostheses than the Biax and Remotion.
Conclusions All four TWAs offer reduced VAS-scores and improved COPM-scores with preserved hand grip strength and somewhat improved range of motion. The Maestro TWA performed favorably compared to the Remotion TWA. Implant design may affect patient related outcome.
Place, publisher, year, edition, pages
Singapore: World Scientific Publishing , 2015. Vol. 20, no 1, 81
Arthroplasty, Rheumatoid, Total Wrist, Joint
Research subject Surgery
IdentifiersURN: urn:nbn:se:oru:diva-52144DOI: 10.1142/S0218810415500112PubMedID: 25609279ScopusID: 2-s2.0-84941743295OAI: oai:DiVA.org:oru-52144DiVA: diva2:970443