Maintaining wrist function in severe rheumatoid arthritis: a case study of revision Swanson wrist arthroplasty staged via a wrist fusion in rheumatoid arthritis.
We present a case of revision Swanson wrist arthroplasty staged via a wrist fusion in a patient with rheumatoid arthritis. Due to extensive bone loss in the rheumatoid patient, it may not be possible initially to revise a wrist arthroplasty; however after fusion with a bone graft to regain bone stock we have demonstrated that this is possible. It may even be possible to convert such a fusion to a total wrist arthroplasty.
Mutimer
J N
JN
Orthopaedic Department, Royal United Hospital, Bath Combe Park, Bath, BA1 3NG England. jonmutimer@iname.com
Giddins
G E B
GE
D000368:Aged; D001172:Arthritis, Rheumatoid / Q000601:surgery*; D001174:Arthrodesis / Q000379:methods*; D001178:Arthroplasty / Q000379:methods*; D005260:Female; D006801:Humans; D007595:Joint Prosthesis; D010027:Osteotomy; D011474:Prosthesis Design; D016059:Range of Motion, Articular; D012086:Reoperation; D016896:Treatment Outcome; D014955:Wrist Joint / Q000502:physiology / Q000601:surgery*