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Biaxial Wrist Replacement

Initial results in the rheumatoid patient

From Wrightington Hospital NHS Trust, Wigan, UK

Correspondence: I.A. Trail MD FRCS. Wrightington Hospital NHS Trust, Hall Lane. Appley Bridge, Wigan WN6 9EP. UK.

We report a short term review of 26 patients after Biaxial total wrist replacement. The mean follow up was 33.6 months (range, 24–62). All except one patient with psoriatic arthropathy had either seropositive or negative rheumatoid arthritis. A significant improvement in the range of motion was obtained; however, only 14 of 26 achieved a "functional" range. Eighteen obtained an excellent or good result when graded using the Hospital for Special Surgery score. Two radial and three carpal components showed radiolucent lines. Follow-up, however, was too short to determine whether this indicates progressive loosening.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 1, 32-34 (1999)
DOI: 10.1016/S0266-7681(99)90017-7


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