Total wrist arthroplasty with the Freedom® prosthesis: a short-term follow-up.
J Hand Surg Eur Vol
; 49(1): 40-47, 2024 01.
Article
en En
| MEDLINE
| ID: mdl-37694732
ABSTRACT
We retrospectively reviewed our series of primary total wrist arthroplasty with the Freedom® prosthesis. The primary outcome measure was revision, and secondary measures included radiographic loosening, pain, complications, movement range, grip strength and patient-reported measures. We reviewed 12 implants in 11 patients (mean age 59 years, range 45-80) with a mean radiological and clinical follow-up of 2.7 and 3 years, respectively. One radial component failed to integrate and was revised at Day 84. Four carpal components demonstrated areas of lucency. There was a statistically significant reduction in pain, and total flexion-extension increased. Despite high patient satisfaction on a ten-point visual analogue scale score (mean 8.7 out of 10), the mean patient-rated wrist evaluation, Quick Disabilities of the Arm, Shoulder and Hand and Patient Evaluation Measure scores were 52, 55 and 53, respectively. The Freedom® implant reduced pain and preserved wrist movement in our patients; however, annual surveillance is recommended due to the high incidence of early carpal component lucency.Level of evidence IV.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Artroplastia de Reemplazo
/
Prótesis Articulares
Límite:
Aged
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Aged80
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Humans
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Middle aged
Idioma:
En
Revista:
J Hand Surg Eur Vol
Año:
2024
Tipo del documento:
Article
País de afiliación:
Reino Unido