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J Wrist Surg 2018; 07(02): 121-126
DOI: 10.1055/s-0037-1606258
Scientific Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Results of the Universal 2 Prosthesis in Noninflammatory Osteoarthritic Wrists

M. E. Brinkhorst
1   Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, The Netherlands
,
R. W. Selles
1   Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, The Netherlands
2   Department of Rehabilitation Medicine, Erasmus MC, Rotterdam, The Netherlands
,
J. J. Dias
3   Department of Orthopaedic Surgery, University Hospitals of Leicester NHS Trust, Infirmary Square, United Kingdom
,
H. P. Singh
3   Department of Orthopaedic Surgery, University Hospitals of Leicester NHS Trust, Infirmary Square, United Kingdom
,
R. Feitz
4   Xpert Clinic, Hilversum, The Netherlands
,
T. M. Moojen
4   Xpert Clinic, Hilversum, The Netherlands
,
S. E. R. Hovius
1   Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, The Netherlands
4   Xpert Clinic, Hilversum, The Netherlands
› Author Affiliations Funding This work was supported by the funding received from Fonds NutsOhra (grant number 1301–030).
Further Information

Publication History

06 November 2016

24 July 2017

Publication Date:
24 August 2017 (online)

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Abstract

Background/Purpose Many treatment options are available for wrist osteoarthritis, with the objective of decreasing pain and preserving function. In later stages when midcarpal and radiocarpal osteoarthritis occur, two choices remain: total wrist arthrodesis or total wrist arthroplasty. The purpose of this study is to present the short-term functional changes following total wrist arthroplasty with the Universal 2 total wrist system (Integra Life Sciences) in patients with noninflammatory wrist osteoarthritis.

Patients and Methods Patients with severe noninflammatory wrist osteoarthritis were assessed preoperatively, 6 and 12 months after surgery using a range of motion, grip strength, pain, and the disabilities of the arm, shoulder, and hand (DASH) score. The additional assessment was performed after 1 year for a range of motion using a biaxial electrogoniometer, grip strength, DASH, and the Michigan hand questionnaire.

Results All range of motion directions and grip strength did not change from preoperative values. The DASH score improved from 53 preoperatively to 14 during latest follow-up. Median patients' satisfaction score decreased with approximately 20 points during the last follow-up.

Conclusion The relatively good DASH score combined with the partly maintained wrist range of motion indicates that reconstruction with the Universal 2 total wrist prosthesis should be considered in patients with end-stage noninflammatory wrist osteoarthritis.

Level of Evidence Level IV, therapeutic study.

Keywords

posttraumatic osteoarthritis - scaphoid nonunion advanced collapse - scapholunate advanced collapse - total wrist arthroplasty - Universal 2 total wrist prosthesis

Note

This study was performed at the Diakonessenhuis, Zeist, The Netherlands. The medical ethics committee of the Diakonessenhuis Utrecht/Zeist approved this study (MEC-2010–295).


 

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