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Region Hovedstaden - en del af Københavns Universitetshospital
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Periprosthetic osteolysis after total wrist arthroplasty

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Ulnar Head or Total Distal Radioulnar Joint Replacement, Isolated and Combined with Total Wrist Arthroplasty: Midterm Results

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Arthroscopically Assisted Bone Grafting Reduces Union Time of Scaphoid Nonunions Compared to Percutaneous Screw Fixation Alone

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Moderate Interrater Reliability in the Diagnosis of Scaphoid Waist Fractures

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Can total wrist arthroplasty be an option in the treatment of the severely destroyed posttraumatic wrist?

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Combined perilunate and axial ulnar dislocation of the wrist

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Ulnar Head or Total Distal Radioulnar Joint Replacement, Isolated and Combined with Total Wrist Arthroplasty: Midterm Results

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Sensation, mechanoreceptor, and nerve fiber function after nerve regeneration

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Remodeling of motor units after nerve regeneration studied by quantitative electromyography

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Collateral ligament reconstruction of the chronic thumb injury with bio-tenodesis screw fixation

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Wear particles and osteolysis in patients with total wrist arthroplasty

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

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.

OriginalsprogEngelsk
TidsskriftJournal of Wrist Surgery
Vol/bind3
Udgave nummer2
Sider (fra-til)101-6
Antal sider6
ISSN2163-3916
DOI
StatusUdgivet - maj 2014

ID: 45067863