J Wrist Surg 2014; 03(02): 101-106
DOI: 10.1055/s-0034-1372532
Scientific Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Periprosthetic Osteolysis after Total Wrist Arthroplasty

Michel E. H. Boeckstyns
1   Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
,
Guillaume Herzberg
2   Wrist Surgery Unit, Department of Orthopedics, Claude Bernard Lyon University, Herriot Hospital, Lyon, France
› Author Affiliations
Further Information

Publication History

Publication Date:
17 May 2014 (online)

Abstract

Background and Literature Review Periprosthetic osteolysis (PPO) after second- or third-generation total wrist arthroplasty (TWA), with or without evident loosening of the implant components, has previously been reported in the literature, but rarely in a systematic way.

Purpose The purpose of this study was to analyze the prevalence, location, and natural history of PPO following a TWA and to determine whether this was associated with prosthetic loosening.

Patients and Methods We analyzed 44 consecutive cases in which a RE-MOTION TWA (Small Bone Innovations Inc., Morrisville, PA, USA) had been done.

Results We found significant periprosthetic radiolucency (more than 2 mm in width) at the radial component side in 16 of the cases and at the carpal component side in 7. It developed gradually juxta-articularly around the prosthetic components regardless of the primary diagnosis, and seemed to stabilize in most patients after 1–3 years. In a small percentage of the patients, the periprosthetic area of bone resorption was markedly larger. In general, radiolucency was not related to evident loosening of the implant components, and only five carpal components and one radial had subsided or tilted.

Conclusion Periprosthetic loosening is frequent following a TWA. In our series it was not necessarily associated with implant loosening and seemed to stabilize within 3 years. Close and continued observation is, however, recommended.

Level of Evidence Therapeutic IV

 
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