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Osseointegrated wrist-joint prostheses: A 15-year follow-up with focus on bony fixation.

Lundborg, Göran LU ; Besjakov, Jack LU and Branemark, Per-Ingvar (2007) In Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 41(3). p.130-137
Abstract
Five patients with rheumatoid arthritis or osteoarthrosis of the wrist joint were followed up for 15 ( 14 - 17) years after wrist-joint arthroplasty with semiconstrained artificial joint mechanisms that had been anchored to bone using the osseointegration principle. They were fixed by one titanium screw introduced into the radius, and two or more titanium screws introduced distally into the metacarpal bones. In four cases a screw was also introduced into the ulna thereby constituting one component in a distal radio-ulnar (DRU) joint mechanism. The titanium screw introduced into the radius and the distal metacarpal screws osseointegrated in all cases. In three cases the mechanism of the wrist joint or parts of it were replaced with new... (More)
Five patients with rheumatoid arthritis or osteoarthrosis of the wrist joint were followed up for 15 ( 14 - 17) years after wrist-joint arthroplasty with semiconstrained artificial joint mechanisms that had been anchored to bone using the osseointegration principle. They were fixed by one titanium screw introduced into the radius, and two or more titanium screws introduced distally into the metacarpal bones. In four cases a screw was also introduced into the ulna thereby constituting one component in a distal radio-ulnar (DRU) joint mechanism. The titanium screw introduced into the radius and the distal metacarpal screws osseointegrated in all cases. In three cases the mechanism of the wrist joint or parts of it were replaced with new components that could be attached to the screws that were already osseointegrated. We conclude that wrist joint prostheses can be anchored to the surrounding bone using osseointegration and that they remain fixed for at least 15 years. The principle allows replacement of the joint mechanism, if needed, with maintenance of the osseointegrated anchoring elements. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
rheumatoid arthritis osseointegration, artificial joint, wrist joint, arthroplasty, hand surgery
in
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
volume
41
issue
3
pages
130 - 137
publisher
Taylor & Francis
external identifiers
  • wos:000246721500007
  • scopus:34248549208
ISSN
1651-2073
DOI
10.1080/02844310701318346
language
English
LU publication?
yes
id
00f72fa9-82a9-4ed4-854f-69aa1472e1e6 (old id 168367)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17486519&dopt=Abstract
date added to LUP
2007-07-26 09:42:53
date last changed
2017-01-01 06:39:18
@article{00f72fa9-82a9-4ed4-854f-69aa1472e1e6,
  abstract     = {Five patients with rheumatoid arthritis or osteoarthrosis of the wrist joint were followed up for 15 ( 14 - 17) years after wrist-joint arthroplasty with semiconstrained artificial joint mechanisms that had been anchored to bone using the osseointegration principle. They were fixed by one titanium screw introduced into the radius, and two or more titanium screws introduced distally into the metacarpal bones. In four cases a screw was also introduced into the ulna thereby constituting one component in a distal radio-ulnar (DRU) joint mechanism. The titanium screw introduced into the radius and the distal metacarpal screws osseointegrated in all cases. In three cases the mechanism of the wrist joint or parts of it were replaced with new components that could be attached to the screws that were already osseointegrated. We conclude that wrist joint prostheses can be anchored to the surrounding bone using osseointegration and that they remain fixed for at least 15 years. The principle allows replacement of the joint mechanism, if needed, with maintenance of the osseointegrated anchoring elements.},
  author       = {Lundborg, Göran and Besjakov, Jack and Branemark, Per-Ingvar},
  issn         = {1651-2073},
  keyword      = {rheumatoid arthritis
osseointegration,artificial joint,wrist joint,arthroplasty,hand surgery},
  language     = {eng},
  number       = {3},
  pages        = {130--137},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery},
  title        = {Osseointegrated wrist-joint prostheses: A 15-year follow-up with focus on bony fixation.},
  url          = {http://dx.doi.org/10.1080/02844310701318346},
  volume       = {41},
  year         = {2007},
}