title: Short to medium results using the remotion total wrist replacement for rheumatoid arthritis.
abstract: We present the clinical outcome of patients who underwent RE-MOTION Total Wrist Replacement (TWR) for the treatment of Rheumatoid arthritis involving the wrist. Ten patients were available for follow-up, ranging from one to five years after index surgery. Two patients required surgical intervention for wound breakdown, including one patient who required a radial forearm flap for skin coverage. No patients required revision surgery or conversion to fusion. Patients who did not have complications gained statistically significant pain relief and improvement in mean overall flexion. In this small case series with short to medium results patients reported an improvement in terms of flexion and pain. Despite this, the question of efficacy of TWR compared to fusion in the long term remains unanswered due to the high rate of complications.
authors.affiliation: Department of Orthopaedics and Trauma, Royal Liverpool Hospital and Broadgreen Hospitals, 4C Link, Royal Liverpool Hospital, Prescot Road, L7 8XP, UK.
authors.forename: A S C
authors.initials: AS
authors.lastname: Bidwai
authors.forename: F
authors.initials: F
authors.lastname: Cashin
authors.forename: A
authors.initials: A
authors.lastname: Richards
authors.forename: D J
authors.initials: DJ
authors.lastname: Brown
mesh_terms: D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000000981:diagnostic imaging / Q000601:surgery*; D019643:Arthroplasty, Replacement / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011859:Radiography; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000601:surgery*