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Journal of Hand Surgery (British and European Volume)
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*Joint Disorders
*Rheumatoid Arthritis
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Articles

Wrist Joint Arthroplasty in Rheumatoid Arthritis: A Comparison between the Meuli and Swanson Prostheses

BRUCE SUMMERS
MICHAEL J. S. HUBBARD

From the Robert Jones and Agnes Hunt Hospital, Oswestry

Correspondence: Bruce Summers, F.R.C.S., Robert Jones and Agnes Hunt, Orthopaedic Hospital, Oswestry, Shropshire, SY10 7AG.

A personal series of twelve wrist arthroplasties performed on ten patients with rheumatoid arthritis of the radio-carpal joint were reviewed in retrospect. Six arthroplasties were of the Meuli metal/plastic/metal design and six were of the Swanson silastic type with an additional silastic ulnar head prosthesis. Both prostheses were successful in giving a pain free stable joint with some degree of useful movement. The Meuli appeared to give a greater range of movement than the more constrained Swanson prosthesis. Although complications were encountered it is concluded that wrist arthroplasty does have a place in the management of patients with rheumatoid arthritis of the radio-carpal joint. Our present policy is to continue with the use of the Swanson design because of the advantages of a cement free prosthesis.

Journal of Hand Surgery (British and European Volume), Vol. 9, No. 2, 171-176 (1984)
DOI: 10.1016/S0266-7681(84)80023-6
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