Swanson implant arthroplasty of the wrist in rheumatoid arthritis.

Abstract:

:Severe involvement of the wrist in rheumatoid arthritis poses great functional restrictions in eating, maintaining personal hygiene, and in performing general daily activities. Twenty-six Swanson radiocarpal implant arthroplasties were performed in 23 patients. Patients' average age was 57 years, with a preoperative diagnosis in all patients of rheumatoid arthritis. Follow-up averaged 33 months (range, 5-47 months). The principal indication for surgery was pain in 23 wrists and wrist deformity in three wrists. Particular attention was paid to postoperative functional status and to any changes in performance of routine activities of daily living pertinent to the wrist. Employing a pain rating scale of 1-4, preoperative scores averaged 3.71 on the operated side and postoperative scores, 1.75. Postoperative activities of daily living that benefited from the improved extension capability of the wrist showed significant improvement. No significant improvement resulted in those activities necessitating strength or fine motor control. Prosthesis fracture in one patient, and recurrence of ulnar deviation in two patients, were the major complications. Capsular reconstruction and tendon transfer to balance the wrist were integral components of the procedure.

journal_name

Clin Orthop Relat Res

authors

Davis RF,Weiland AJ,Dowling SV

subject

Has Abstract

pub_date

1982-06-01 00:00:00

pages

132-7

issue

166

eissn

0009-921X

issn

1528-1132

pub_type

杂志文章
  • Anatomic study of the semispinalis cervicis for reattachment during laminoplasty.

    abstract::Some patients who had cervical laminoplasty with subsequent substantial loss of cervical lordosis have shown failed healing of a repaired semispinalis cervicis. We also have identified some patients in whom it is difficult to repair the C2 spinous process during laminoplasty. We therefore quantitatively analyzed the m...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000160710.11991.33

    authors: Takeuchi K,Yokoyama T,Aburakawa S,Itabashi T,Toh S

    更新日期:2005-07-01 00:00:00

  • The use of ultraviolet light and fluorescence macrophotography in orthopedic morphology and pathology.

    abstract::The efficiency of ultraviolet light and fluorescence macrophotography in screening various tissues of the locomotor system was tested on 46 human and 43 animal specimens from surgical, experimental and autopsy material, examined as living tissues during operation, or as fresh, frozen or fixed specimens. After visual e...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-197511000-00033

    authors: Rális ZA,Blake PD

    更新日期:1975-11-01 00:00:00

  • Painful scoliosis secondary to an osteoid osteoma of the rib.

    abstract::A 14-year-old girl with painful scoliosis was found to have an osteoid osteoma involving the body of the left seventh rib. Excision of the tumor was facilitated by intraoperative bone scanning that precisely located its position. Following surgery, preoperative pain was completely relieved and the spinal curvature had...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Mehdian H,Summers B,Eisenstein S

    更新日期:1988-05-01 00:00:00

  • Heat generated by knee prostheses.

    abstract::Temperature sensors were placed in 50 knees in 25 patients who had one or both joints replaced. Temperature recordings were made before walking, after walking, and after cycling. The heat generated in healthy, arthritic, and replaced knees was measured. The knee replacements were done using eight different prostheses....

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000183739.50869.bb

    authors: Pritchett JW

    更新日期:2006-01-01 00:00:00

  • The shape of the proximal femur influences acetabular wear patterns over time.

    abstract:BACKGROUND:Femoroacetabular impingement has been proposed as a cause of early osteoarthritis, but it is not known how this develops over time or whether the shape of the proximal femur influences this risk. QUESTIONS/PURPOSES:(1) Which areas of the acetabulum are worn more frequently by individuals with a cam deformit...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-012-2720-x

    authors: Streit JJ,Levine A,Barrett IJ,Cooperman DR,Goldberg V

    更新日期:2013-02-01 00:00:00

  • Reconstruction of the deltoid and acromion after failed acromionectomy.

    abstract:UNLABELLED:Ten patients who had reconstruction of the acromion and deltoid in a painful dysfunctional shoulder after an acromionectomy were reviewed with respect to pain, range of motion, strength, patients' satisfaction, and complications. There were four total acromionectomies, five subtotal acromionectomies, and one...

    journal_title:Clinical orthopaedics and related research

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.blo.0000146535.77776.5f

    authors: Jeon IH,Koorevaar R,Neumann L,Wallace WA

    更新日期:2005-01-01 00:00:00

  • Childbirth and sexual activity after eccentric rotational acetabular osteotomy.

    abstract::Pelvic osteotomy for symptomatic hip dysplasia usually is performed for young and adolescent females. Delivery after pelvic osteotomy is a concern for patients of childbearing age. We asked whether the clinical results differed before and after pregnancy, whether eccentric rotational acetabular osteotomy alters the bo...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/BLO.0b013e31803b8d82

    authors: Masui T,Hasegawa Y,Yamaguchi J,Kanoh T,Ishiguro N

    更新日期:2007-06-01 00:00:00

  • Marshall R. Urist, 1914-2001.

    abstract::This biographical sketch of Marshall R. Urist corresponds to the historic texts, The Classic: Bone Morphogenetic Protein, available at DOI 10.1007/s11999-009-1068-3; The Classic: A Morphogenetic Matrix for Differentiation of Cartilage in Tissue Culture, available at DOI 10.1007/s11999-009-1069-2; and The Classic: A Mo...

    journal_title:Clinical orthopaedics and related research

    pub_type: 传,历史文章,杂志文章

    doi:10.1007/s11999-009-1067-4

    authors: Brand RA

    更新日期:2009-12-01 00:00:00

  • Is Patient-reported Penicillin Allergy Independently Associated with Increased Risk of Prosthetic Joint Infection After Total Joint Arthroplasty of the Hip, Knee, and Shoulder?

    abstract:BACKGROUND:Patients with a patient-reported penicillin allergy may be at greater risk for postoperative prosthetic joint infection (PJI) after total joint arthroplasty of the hip, knee, or shoulder. The increased risk of PJI in these patients has been attributed to these patients receiving a less-effective perioperativ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/CORR.0000000000001497

    authors: Wu VJ,Iloanya MC,Sanchez FL,Billings CR,O'Brien MJ,Savoie FH 3rd,Sherman WF

    更新日期:2020-12-01 00:00:00

  • Effect of erroneous surgical procedures on recurrence and survival rates for patients with osteosarcoma.

    abstract::To determine whether inappropriate surgical procedures based on an initial misdiagnosis affected recurrence and survival rates, we retrospectively reviewed the surgical treatment and results of 117 patients with high-grade osteosarcomas treated from January 1, 1990 to December 31, 2000. Nine patients had intralesional...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000229314.58878.88

    authors: Ayerza MA,Muscolo DL,Aponte-Tinao LA,Farfalli G

    更新日期:2006-11-01 00:00:00

  • Is Total Femur Replacement a Reliable Treatment Option for Patients With Metastatic Carcinoma of the Femur?

    abstract:BACKGROUND:The majority of metastatic bone lesions to the femoral bone can be treated without surgery or with minimally invasive intramedullary nailing. In rare patients with extensive metastatic disease to the femur, total femur replacement may be the only surgical alternative to amputation; however, little is known a...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999.0000000000000125

    authors: Sevelda F,Waldstein W,Panotopoulos J,Kaider A,Funovics PT,Windhager R

    更新日期:2018-05-01 00:00:00

  • Physiologic effects of functional electrical stimulation-induced exercises in spinal cord-injured individuals.

    abstract::Spinal cord injury (SCI) results in multiple degenerative changes that may in part be related to physical inactivity. There are indications that some of these changes may be reversed by exercise and fitness training. Computerized functional electrical stimulation (FES) allows active exercise of limbs paralyzed by uppe...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Ragnarsson KT

    更新日期:1988-08-01 00:00:00

  • Sciatic nerve resection: is that truly an indication for amputation?

    abstract::En bloc resection of the sciatic nerve with an adjacent bone or soft tissue tumor has been assumed to be associated with a poor functional outcome and, therefore, was considered an indication for amputation. Although many surgical oncologists today challenge this assumption and do limb-sparing resection in these patie...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Bickels J,Wittig JC,Kollender Y,Kellar-Graney K,Malawer MM,Meller I

    更新日期:2002-06-01 00:00:00

  • Variations in treatment of postmenopausal osteoporosis.

    abstract::The purpose of this study was to determine trends and differences between various medical specialties with regard to the treatment of postmenopausal osteoporosis. The method used was a cross-sectional survey, and the authors' sample was composed of 116 physicians. There was an overall lack of consensus on choice of tr...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Schwartz M,Anwah I,Levy RN

    更新日期:1985-01-01 00:00:00

  • One-stage revision of total hip arthroplasty for deep infection. Long-term followup.

    abstract::One hundred eighty-three total hip arthroplasties were revised for deep infection in a 1-stage procedure using antibiotic containing acrylic cement and systemic perioperative antibiotics. At an average followup of 7 years 9 months, 154 (84.2%) patients were free of infection. The remaining 29 (15.8%) patients had evid...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Raut VV,Siney PD,Wroblewski BM

    更新日期:1995-12-01 00:00:00

  • Acetabular Version Increases During Adolescence Secondary to Reduced Anterior Femoral Head Coverage.

    abstract:BACKGROUND:Acetabular version influences joint mechanics and the risk of impingement. Cross-sectional studies have reported an increase in acetabular version during adolescence; however, to our knowledge no longitudinal study has assessed version or how the change in version occurs. Knowing this would be important beca...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/CORR.0000000000000900

    authors: Grammatopoulos G,Jamieson P,Dobransky J,Rakhra K,Carsen S,Beaulé PE

    更新日期:2019-11-01 00:00:00

  • Orthopaedic management using new devices and prostheses.

    abstract::The goals of treatment for patients with metastatic disease are control of pain and maintenance of function. Prosthetic arthroplasty is a useful technique for selected indications. Specific indications include (1) reconstruction of large destructive areas that are not amenable to internal fixation, (2) salvage of fail...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:

    authors: Sim FH,Frassica FJ,Chao EY

    更新日期:1995-03-01 00:00:00

  • History of the AO and its global effect on operative fracture treatment.

    abstract::In 1958 a group of Swiss general and orthopaedic surgeons established the AO (Arbeitsgemeinschaft für Osteosynthesefragen) or the Association of the Study of Internal Fixation (ASIF) to strive to transform the contemporary treatment of fractures in Switzerland. This association was revolutionary in development of inst...

    journal_title:Clinical orthopaedics and related research

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Matter P

    更新日期:1998-02-01 00:00:00

  • What can be learned from minimum 20-year followup studies of knee arthroplasty?

    abstract:BACKGROUND:Long-term evaluation of knee arthroplasty should provide relevant information concerning the durability and performance of the implant and the procedure. Because most arthroplasties are performed in older patients, most long-term followup studies have been performed in elderly cohorts and have had low patien...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-014-3744-1

    authors: Callaghan JJ,Martin CT,Gao Y,Pugely AJ,Liu SS,Goetz DD,Kelley SS,Johnston RC

    更新日期:2015-01-01 00:00:00

  • Perioperative clopidogrel and postoperative events after hip and knee arthroplasties.

    abstract:BACKGROUND:Hip and knee arthroplasties are widely performed and vascular disease among patients having these procedures is common. Clopidogrel is a platelet inhibitor that decreases the likelihood of thrombosis. It may cause intraoperative and postoperative bleeding, but its discontinuation increases the risk of vascul...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-012-2306-7

    authors: Nandi S,Aghazadeh M,Talmo C,Robbins C,Bono J

    更新日期:2012-05-01 00:00:00

  • VEGF and BMP expression in mouse osteosarcoma cells.

    abstract::Osteosarcoma is the most common primary bone malignancy. Despite improvements in therapy, approximately 30% of patients experience pulmonary metastasis. Expression of several growth factors, including VEGF and BMPs, has been implicated in tumor progression and metastatic potential. We hypothesized increased metastatic...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000229333.98781.56

    authors: Weiss KR,Cooper GM,Jadlowiec JA,McGough RL 3rd,Huard J

    更新日期:2006-09-01 00:00:00

  • Case report: primary aneurysmal bone cyst of the epiphysis.

    abstract::Aneurysmal bone cysts are benign active or aggressive bone tumors that commonly arise in the long bones, especially the femur, tibia, and humerus and the posterior elements of the spine. Aneurysmal bone cysts affect all age groups but are more common before skeletal maturity (first two decades of life). They usually i...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-010-1228-5

    authors: Chan G,Arkader A,Kleposki R,Dormans JP

    更新日期:2010-04-01 00:00:00

  • Bernese periacetabular osteotomy.

    abstract::Seventy-five symptomatic dysplastic hip joints (63 patients) were treated with the Bernese periacetabular osteotomy during a period of 44 months. The mean patients' age was 29 years (range, 13-56 years) and the female:male ratio was 3.4:1. Group III dysplasia according to Severin was seen in 50% and Group IV dysplasia...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Siebenrock KA,Schöll E,Lottenbach M,Ganz R

    更新日期:1999-06-01 00:00:00

  • The study of Maquet dome high tibial osteotomy. Arthroscopic-assisted analysis.

    abstract::A review of 118 Maquet valgus high tibial osteotomies, secured with Charnley's external compression fixator, included 110 cases of primary osteoarthritis, six cases of osteonecrosis, and two cases of traumatic arthritis. Preoperatively, the mechanical axis of alignment showed varus deformity with an average of 9.6 deg...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Hsu RW

    更新日期:1989-06-01 00:00:00

  • Skeletal fixation of grade IIIB tibial fractures. The potential of metaanalysis.

    abstract::Contemporary management of Grade IIIB open tibial fractures has evolved to include intravenous antibiotics, thorough interval surgical debridement, rigid skeletal fixation, early local or free tissue myoplasty, and liberal use of autogenous bone graft beneath a clean, stable wound. External fixation has been the skele...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,meta分析

    doi:10.1097/00003086-199611000-00003

    authors: Dervin GF

    更新日期:1996-11-01 00:00:00

  • Massive solitary tophus containing calcium pyrophosphate dihydrate crystals at the acromioclavicular joint.

    abstract::A massive solitary tophus containing calcium pyrophosphate dihydrate (CPPD) crystals was resected from the distal clavicle and proximal acromion of a 62-year-old man who presented with a painful shoulder mass. The diagnosis was confirmed histologically and by X-ray diffraction. CPPD crystal deposition was found within...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Marcove RC,Wolfe SW,Healey JH,Huvos AG,Boskey A,Fleisher M

    更新日期:1988-02-01 00:00:00

  • Longitudinal crack propagation in bone around femoral prosthesis.

    abstract::Intraoperative femoral fracture is a well-recognized technical complication of cementless total hip arthroplasty. This study was designed to establish an in vitro model for initiation and propagation of fractures of the proximal femur in cementless THA and to assess the effect of fracture fixation in the form of cercl...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Incavo SJ,DiFazio F,Wilder D,Howe JG,Pope M

    更新日期:1991-11-01 00:00:00

  • Osteosarcoma of the pelvis: outcome analysis of surgical treatment.

    abstract:UNLABELLED:Risk factors to explain the poor survival of patients with osteosarcoma of the pelvis are poorly understood. Therefore, we attempted to identify factors affecting survival and development of local recurrence and metastasis. We retrospectively reviewed 43 patients who had high-grade pelvic tumors and were tre...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-008-0495-x

    authors: Fuchs B,Hoekzema N,Larson DR,Inwards CY,Sim FH

    更新日期:2009-02-01 00:00:00

  • Total resurfacing for osteonecrosis of the hip.

    abstract::With the resurgence of metal-on-metal bearings, there is renewed interest in total hip resurfacing. A cementless acetabular component used for resurfacing with a wall thickness of fewer than 5 mm is comparable in size to acetabular components used for total hip replacement. The fixation of a porous-ingrowth acetabular...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1097/01.blo.0000150319.35347.2d

    authors: Schmalzried TP

    更新日期:2004-12-01 00:00:00

  • Paley's multiplier method does not accurately predict adult height in children with bone sarcoma.

    abstract:BACKGROUND:The majority of patients with osteosarcoma and Ewing's sarcoma are diagnosed before skeletal maturity. Paley's multiplier is used for height prediction in healthy children, and has been suggested as a method to make growth predictions for children with osteosarcoma and Ewing's sarcoma when considering limb s...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-014-3636-4

    authors: Gilg MM,Wibmer C,Andreou D,Avian A,Sovinz P,Maurer-Ertl W,Tunn PU,Leithner A

    更新日期:2014-08-01 00:00:00