Arthroplasty of the rheumatoid wrist with silicone rubber.

DOI
  • Hirano Eiji
    Departurent of Orthopedic Surgery Nagasaki Central Hospital
  • Tsuneoka Takehisa
    Department of Orthopedic Surgery Shimabara Spring Hospital
  • Watanabe S
    Department of Orthopedic Surgery Shimabara Spring Hospital
  • Takeshita T
    Department of Orthopedic Surgery Shimabara Spring Hospital
  • Imamura Kotaro
    Department of Orthopedic Surgery Nagasaki University School of Medicine

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Other Title
  • Ｓｗａｎｓｏｎ　Ｉｍｐｌａｎｔによる手関節形成術の経験

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Abstract

Three patients (5 wrists) with severe rheumatoid arthritis have had arthoplasty of the wrist with Swanson's flexible hinge implant sine August of 1979.<br>The review of the results of 5 wrists with 2 years and 9 months follow-up showed all of them to be remarkably free from pain, with improvement of the average arc of motion by 43° (before operation: 35°, after operation: 78°) and improvement of grip strength by 5.8kg on the average (preoperative grip strength: 2.6, after operation: 8.4kg). All the patients noted an improvement in ability to carry out and perineal care.<br>We feel that wrist arthroplasty with silicone implant is preferable to wrist fusion for severe rheumatioid patients.

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