Article

We present early results (average 32 months follow-up, minimum 12 months) of a
prospective study of the ReMotion total wrist arthroplasty in a series of 20
wrists (19 patients) with end-stage arthritic wrists (of whom 13 were
rheumatoid). Overall there were no intra-operative complications, dislocations or
reoperations. We observed one carpal and one radial loosening--both in rheumatoid
patients. Neither was symptomatic enough to warrant reoperation. In the
rheumatoid group of 13 wrists there was an average of 41% clinical score
improvement. According to the Meuli score there were seven excellent, five good
and one poor result. In the non-rheumatoid group of seven wrists there was an
average of 27% clinical score improvement. According to the Meuli score there
were two excellent, two good, two fair and one poor result. In the short term
follow-up of this series, the ReMotion total wrist arthroplasty provided better
results and less devastating complications than the old generation total wrist
arthroplasties. Longer follow-up is needed to validate these early results.
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Langue : ANGLAIS