Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Sign In to gain access to subscriptions and/or personal tools.
Journal of Hand Surgery (British and European Volume)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by VÖGELIN, E.
Right arrow Articles by NAGY, L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by VÖGELIN, E.
Right arrow Articles by NAGY, L.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Articles

Fate of Failed Meuli Total Wrist Arthroplasty

ESTHER VÖGELIN
LADISLAV NAGY

From Handchirurgische Abteilung Inselspital Bern, Universität Bern, Switzerland

Correspondence: Dr Esther Vögelin, MD, Handchirurgische Abteilung Inselspital Bern, Freiburgstrasse, 3010 Bern Switzerland., Tel.: 0041 31 632 3534; Fax: 0041 31 632 3496; E-mail: esther.voegelin{at}insel.ch

Sixteen Meuli wrist arthroplasties in 13 patients suffering mainly from rheumatoid arthritis were revised for failure. Causes for failure were mechanical problems with the implant in three wrists, soft tissue problems in two wrists and a combination of mechanical failure and soft tissue problems in 11 wrists. Management included 11 revision arthroplasties in ten wrists, four arthrodeses and two primary soft tissue reconstructions. Twenty-six additional soft tissue procedures were required in association with the revision arthroplasties or arthrodeses. Five of the 11 revision arthroplasties had to be converted to arthrodeses after an average of 5 (range 3–8) years. After removal of a failed wrist implant union of the salvage arthrodesis was diffcult to achieve in two of the nine instances. This series demonstrates that revision arthroplasty may be a useful alternative to arthrodesis for the salvage of primary wrist arthroplasties in rheumatoid patients. However, complications and reoperations may occur after both revision arthroplasty and arthrodesis.

Journal of Hand Surgery (British and European Volume), Vol. 28, No. 1, 61-68 (2003)
DOI: 10.1054/JHSB.2002.0812
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?