The Role of Wrist Fusion and Wrist Arthroplasty in Rheumatoid Arthritis.
Rheumatoid arthritis is the most common form of inflammatory arthritis with a predilection for the hand and wrist. The aggressive nature of the disease can lead to severe joint destruction causing significant disability. Surgical options for pan-carpal arthritis include total wrist arthroplasty and total wrist fusion both with varying outcomes, yet both have a role in the carefully selected patients. Fusion remains a popular procedure with consistent reliable results with few complications. We present a review of current evidence, indications and guidance for both fusion and arthroplasty in rheumatoid arthritis.
Jagmeet
J
Bhamra
Kuljeet
K
Bhamra
Sandip
S
Hindocha
Clinical Lecturer, University College London Institute of Orthopaedics and Musculoskeletal Science, Royal National Orthopaedic Hospital, Stanmore, London, HA7 4LP,. United Kingdom.
Wasim
W
Khan
D001172:Arthritis, Rheumatoid / Q000601:surgery*; D001174:Arthrodesis / Q000379:methods*; D019643:Arthroplasty, Replacement / Q000379:methods*; D006801:Humans; D014955:Wrist Joint / Q000601:surgery*
Extension; flexion; inflammatory arthritis; outcome; rheumatoid arthritis; total wrist arthroplasty; total wrist fusion