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DOI: 10.1055/a-2528-0045
CT Motion-Analysis of Implant Loosening in Total Wrist Arthroplasty: A Pilot Study
Funding This work was supported by the Region Örebro län (ALF 979910).
Abstract
Introduction Total wrist arthroplasty (TWA) is a motion-preserving treatment option for wrist arthritis. High-precision measurement methods for implant migration such as computed tomography motion-analysis (CTMA) can potentially detect poor implant fixation. The aim of this pilot study was to assess CTMA as a complementary method to diagnose aseptic loosening of TWA.
Materials and Methods Three patients with a TWA and wrist pain during activity underwent induced displacement CT (CTMA) with alternated provocations as a complement to plain radiographs.
Results Two of the three patients had displacement of the carpal component on CTMA. The radial component was stable in all cases. The tool was adapted to clinical routine use.
Conclusions CT motion-analysis could be a valuable adjunct to plain radiographs in assessing component loosening in TWA.
Publikationsverlauf
Eingereicht: 12. November 2024
Angenommen: 28. Januar 2025
Artikel online veröffentlicht:
21. Februar 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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