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Viêm khớp cổ tay

Mặc dù arthroplasty là một thủ tục tốt cho khớp Nhiều thành lập, sử dụng ITS trong cổ tay IS ít phổ biến hơn, và các chỉ dẫn ít cũng được xác định. Các thủ tục tiêu chuẩn cho viêm khớp cổ tay đau đớn Remains radiocarpal arthrodesis. Tuy nhiên, khi công nghệ và cải thiện thủ tục phẫu thuật, | Total Wrist Arthroplasty Jeffrey R. Carlson MD and Barry P. Simmons MD Abstract Although arthroplasty is a well-established procedure for many joints its use in the wrist is less common and the indications are less well defined. The standard procedure for the painful arthritic wrist remains radiocarpal arthrodesis. However as technology and surgical procedures improve wrist arthroplasty is being used more frequently. The authors provide a brief history of total wrist arthroplasty and review the arthroplasties most commonly used in the United States. Results with total wrist implants the complications related to arthroplasty technical aspects of the procedure and salvage options are also discussed. J Am Acad Orthop Surg 1998 6 308-315 Pain deformity and impaired function caused by wrist arthritis have proved to be very difficult problems to solve. With improvements in medical treatments and surgical procedures restoration and maintenance of hand function have become more attainable. Wrist fusion has been the standard treatment for the painful wrist but limited arthrodesis partial resection with or without interpositional materials and total wrist arthroplasty are now options for treating the painful arthritic wrist. In this article we will review the history and current literature on total wrist arthroplasty with the premise that a pain-free and mobile wrist is more functional than a fused wrist. Indications The indications for total wrist arthroplasty have not been clearly defined. The ideal patient for a total wrist arthroplasty has painful bilateral wrist disease and despite arthritis relatively good wrist alignment and motion. The vast majority of patients have generalized arthritis mainly rheumatoid which affects other joints in the same extremity making it difficult to position the hand in space. A wrist arthroplasty can help the patient compensate for the lack of motion in other joints and thus better preserve function. Contraindications to total wrist .