J Wrist Surg 2014; 03(03): 211-215
DOI: 10.1055/s-0034-1384770
Emerging Technologies and New Technological Concepts
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Conversion of Total Wrist Arthroplasty to Arthrodesis with a Custom-Made Peg

Ole Reigstad
1   Hand- and microsurgery section, Orthopedic Department, OUS-Rikshospitalet, Oslo, Norway
,
Magne Røkkum
1   Hand- and microsurgery section, Orthopedic Department, OUS-Rikshospitalet, Oslo, Norway
› Author Affiliations
Further Information

Publication History

Publication Date:
31 July 2014 (online)

Abstract

Conversion of a failed total wrist arthroplasty to arthrodesis can be difficult. A custom-made titanium alloy peg was constructed to enable arthrodesis with the original arthroplasty components in situ. Two out of three patients were especially challenging cases with little bone available. Bony union was achieved in 2 to 3 months. The peg simplified a difficult revision situation and gave good, predictable results at follow-up.

 
  • References

  • 1 Kretschmer F, Fansa H. BIAX total wrist arthroplasty: management and results after 42 patients [in German]. Handchir Mikrochir Plast Chir 2007; 39 (4) 238-248
  • 2 Ward CM, Kuhl T, Adams BD. Five- to ten-year outcomes of the Universal total wrist arthroplasty in patients with rheumatoid arthritis. J Bone Joint Surg Am 2011; 93 (10) 914-919
  • 3 Cooney III WP, Beckenbaugh RD, Linscheid RL. Total wrist arthroplasty. Problems with implant failures. Clin Orthop Relat Res 1984; 187 (187) 121-128
  • 4 Beer TA, Turner RH. Wrist arthrodesis for failed wrist implant arthroplasty. J Hand Surg Am 1997; 22 (4) 685-693
  • 5 Rizzo M, Ackerman DB, Rodrigues RL, Beckenbaugh RD. Wrist arthrodesis as a salvage procedure for failed implant arthroplasty. J Hand Surg Eur Vol 2011; 36 (1) 29-33
  • 6 Ferlic DC, Jolly SN, Clayton ML. Salvage for failed implant arthroplasty of the wrist. J Hand Surg Am 1992; 17 (5) 917-923
  • 7 Reigstad O, Lütken T, Grimsgaard C, Bolstad B, Thorkildsen R, Røkkum M. Promising one- to six-year results with the Motec wrist arthroplasty in patients with post-traumatic osteoarthritis. J Bone Joint Surg Br 2012; 94 (11) 1540-1545
  • 8 Orbay JL, Feliciano E, Orbay C. Locked intramedullary total wrist arthrodesis. J Wrist Surg 2012; 1 (2) 179-184
  • 9 Herzberg GB, Sorensen MA, Axelsson I , et al. “Remotion” total wrist arthroplasty: preliminary results of a prospective international multicenter study of 215 cases. J Wrist Surg 2012; 01: 17-23 PubMed
  • 10 Rahimtoola ZO, Hubach P. Total modular wrist prosthesis: a new design. Scand J Plast Reconstr Surg Hand Surg 2004; 38 (3) 160-165