title: Replacement with silicone wrist implant after failed silicone wrist arthroplasty:  3 case reports in inflammatory arthritis.
abstract: Revision surgery after failed silicone wrist arthroplasty is often challenging. In particular, in cases of inflammatory arthritis there is a high incidence of extensive bone loss which leads to a high complication rate in wrist fusion as a salvage procedure. Sometimes the surgeon may be faced with a patient in poor overall medical condition, who is very low demand so that the complexities of wrist fusion after a failed silicone arthroplasty may be contraindicated. For that situation, revision with a silicone prosthesis is a easy method in cases of severe osseous destruction in low demand patients with a long history of inflammatory arthritis.With 3 case reports will describe the topic of replacement with silicone wrist implant after failed silicone wrist arthroplasty.
authors.affiliation: Department of Hand Surgery, Schulthess Clinic, Zurich, Switzerland. stephan.schindele@kws.ch
authors.forename: Stephan
authors.initials: S
authors.lastname: Schindele
authors.forename: Christoph
authors.initials: C
authors.lastname: Kolling
authors.forename: Lisa
authors.initials: L
authors.lastname: Reissner
authors.forename: Daniel
authors.initials: D
authors.lastname: Herren
mesh_terms: D001168:Arthritis / Q000601:surgery*; D015535:Arthritis, Psoriatic / Q000601:surgery; D001172:Arthritis, Rheumatoid / Q000601:surgery; D019643:Arthroplasty, Replacement; D002348:Carpal Bones / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008875:Middle Aged; D019736:Prostheses and Implants; D011859:Radiography; D012086:Reoperation; D012828:Silicones / Q000627:therapeutic use; D017211:Treatment Failure; D014457:Ulna / Q000473:pathology
chemical_list: D012828:Silicones