Document Detail


Meuli total wrist arthroplasty.
MedLine Citation:
PMID:  6744703     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The wrist endoprosthesis developed and used since 1971 by the author is comparable to other designs of total joint implants. The completely unconstrained design has proved effective. It has sufficient stability, provided that the proper muscle balance is achieved at the end of the procedure. Careful, exact centering of the prosthesis is a vital prerequisite for good function, along with the use of adequate bone stock for securing implantation and survival of the cement-bone interface. The eccentric placement of the anchoring prongs of the distal component has made centering of the prosthesis easier but has not obviated the need for careful, individual contouring and implantation of each prosthesis. Indications for a total wrist prosthesis must take into account pain, disability, and the local findings. Patients who engage in heavy, manual work and those who must rely on walking aids, such as a cane or crutch, should not be considered as suitable candidates for total wrist implantations. Salvage is always possible either by revision of the arthroplasty or arthrodesis. Cementless implantation of the components may have certain advantages. The prototypes that have been designed are still under investigation.
Authors:
H C Meuli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:    1984 Jul-Aug
Date Detail:
Created Date:  1984-09-14     Completed Date:  1984-09-14     Revised Date:  2005-03-03    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  107-11     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Humans
Joint Prosthesis*
Methods
Prosthesis Design
Wrist Joint / radiography,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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