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Rheumatoid Arthritis and Atypical Arthritidies
2016 video theater: Total Wrist Replacement arthro ...
2016 video theater: Total Wrist Replacement arthroplasty
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Video Transcription
Video Summary
The video demonstrates the technique of total wrist arthroplasty, discussing indications, contraindications, surgical technique, complications, and long-term outcomes. Wrist arthroplasty is indicated for wrist pain and functional impairment caused by various types of arthritis. Other options such as wrist denervation, carpectomy, and fusion must be discussed with the patient. The procedure involves using third-generation wrist implants that consist of a metal carpal plate and a metal stemmed radial component. The implant is fixed with screws and can be cementless or cemented. The video shows a case of a 77-year-old patient with osteoarthritis. The surgical steps, including incisions, bone drilling, resection, and implant placement, are demonstrated. Postoperative care and potential complications are discussed. Studies show favorable outcomes with low complication rates for third-generation wrist implants.
Keywords
total wrist arthroplasty
indications
surgical technique
complications
third-generation wrist implants
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