title: Results of a unicentric series of 15 wrist prosthesis implantations at a 5.2 year follow-up.
abstract: Our retrospective study aimed to evaluate functional and radiological results of a unicentric series of 17 total wrist prostheses implanted between 2001 and 2011. Nine women and seven men, mean age 59, underwent wrist joint arthroplasty, bilateral in one case. Universal Total Wrist and Remotion prostheses were used and followed-up at a mean of 5.2 years (1.1-10). Fifteen patients were reviewed. Four patients had postoperative complications, three of whom required arthrodesis. The rest obtained satisfactory pain relief. Grip strength nevertheless decreased compared to the contralateral side and mobility was reduced: flexion/extension=33°, ulnar/radial deviation=20°. The Quick DASH score was 29% and PRWE, 26%. Radiological assessment revealed carpal implant loosening in eight patients. Our series confirms the discordance generally observed between patients' subjective satisfaction and mediocre clinical and radiological results over the medium term.
authors.forename: Jérémie
authors.initials: J
authors.lastname: Chevrollier
authors.forename: Clotilde
authors.initials: C
authors.lastname: Strugarek-Lecoanet
authors.forename: François
authors.initials: F
authors.lastname: Dap
authors.forename: Gilles
authors.initials: G
authors.lastname: Dautel
mesh_terms: D000328:Adult; D000368:Aged; D001170:Arthritis, Infectious / Q000601:surgery*; D001172:Arthritis, Rheumatoid / Q000601:surgery*; D019643:Arthroplasty, Replacement / Q000379:methods*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery*; D010020:Osteonecrosis / Q000601:surgery*; D017060:Patient Satisfaction; D012189:Retrospective Studies; D016896:Treatment Outcome; D014955:Wrist Joint / Q000601:surgery*