Handgelenkendoprothese versus Arthrodese

Zusammenfassung

Die Destruktion des Handgelenkes stellt eine wesentliche Störung der Gelenkkette der oberen Extremität dar. Kraft- und Funktionsverlust sind neben Schmerz die Indikation zum operativen Vorgehen. Die klassische Versteifungsoperation des Handgelenkes erhält zunehmend Konkurrenz durch die Gelenkfunktion-erhaltende Endoprothese. Zweitere weist gute früh- bis mittelfristige Resultate auf, im Langzeitverlauf jedoch hohe Revisionsraten wegen Lockerung meist des karpalen Teils, verbunden mit Polyethylenabrieb – langfristig ist eine Konversion in eine Arthrodese erforderlich. Der Goldstandard am Handgelenk bleibt die Arthrodese; die Endoprothese stellt eine Individuallösung dar. Es liegt in der Verantwortung des Opera-teurs, zwischen Mobilität und Durabilität zu wählen.

Summary

The destruction of the wrist represents a substantial disorder of the upper extremity. Reduced strength and loss of function are the indications for the operational approach in addition to pain. The classical fusion surgery of the wrist is receiving increasing competition from the function-preserving joint endoprosthesis. The endoprosthesis has good short and mid-term results. During long-term high revision rates due to easing usually of the carpal part combined with polyethylene wear and in the long term, a conversion to an arthrodesis is required. The gold standard of the wrist treatment remains the arthrodesis; the endoprosthesis represents an individual solution. It is up to the responsibility of the surgeon to select between mobility and durability.

Schlüsselwörter

Handgelenkdestruktion - Handgelenkarthrodese - Handgelenkendoprothese - Handgelenk -instabilität

Keywords

Osteoarthritis wrist - rheumatoid arthritis wrist - wrist arthroplasty - wrist arthrodesis - wrist instability

• Literatur

• 1 Fatti JF, Palmer AK, Greenky S, Mosher JF. Long-term results of Swanson interpositional wrist arthroplasty: Part II. J Hand Surg Am 1991; 16 (03) 432-437.
• 2 Comstock CP, Louis DS, Eckenrode JF. Silicone wrist implant: long-term follow-up study. J Hand Surg Am 1988; 13 (02) 201-205.
• 3 Jolly SL, Ferlic DC, Clayton ML. et al Swanson silicone arthroplasty of the wrist in rheumatoid arthritis: a long-term follow-up. J Hand Surg Am 1992; 17 (01) 142-149.
• 4 Capone Jr RA. The titanium grommet in flexible implant arthroplasty of the radiocarpal joint: a long-term review of 44 cases. Plast Reconstr Surg 1995; 96 (03) 667-672.
• 5 Rossello I M, Costa M, Pizzorno V. Experience of total wrist arthroplasty with silastic implants plus grommets. Clin Orthop Relat Res 1997; 342: 64-70.
• 6 Schill Sl, Thabe H, Mohr W. [Long-term outcome of Swanson prosthesis management of the rheumatic wrist joint]. Handchir Mikrochir Plast Chir 2001; 33 (03) 198-206.
• 7 Kistler U, Weiss AP, Simmen BR, Herren DB. Long-term results of silicone wrist arthroplasty in patients with rheumatoid arthritis. J Hand Surg Am 2005; 30 (06) 1282-1287.
• 8 Volz RG. Total wrist arthroplasty: a new approach to wrist disability. Clin Orthop Relat Res 1977; 128: 180-189.
• 9 Cooney 3rd WP, Beckenbaugh RD, Linscheid RL. Total wrist arthroplasty. Problems with implant failures. Clin Orthop Relat Res 1984; 187: 121-128.
• 10 Gellman H, Hontas R, Brumfield Jr RH. et al Total wrist arthroplasty in rheumatoid arthritis. A long-term clinical review. Clin Orthop Relat Res 1997; 342: 71-76.
• 11 Meuli HC, Fernandez DL. Uncemented total wrist arthroplasty. J Hand Surg Am 1995; 20 (01) 115-122.
• 12 Meuli HC. Total wrist arthroplasty. Experience with a noncemented wrist prosthesis. Clin Orthop Relat Res 1997; 342: 77-83.
• 13 Ekroth SR, Werner FW, Palmer AK. Case report of long-term results of biaxial and volz total wrist arthroplasty. J Wrist Surg 2012; 1 (02) 177-178.
• 14 Lundborg G, Brånemark I P. Anchorage of wrist joint prostheses to bone using the osseointegration principle. J Hand Surg Br 1997; 22 (01) 84-89.
• 15 Radmer S, Andresen R, Sparmann M. Wrist arthroplasty with a new generation of prostheses in patients with rheumatoid arthritis. J Hand Surg Am 1999; 24 (05) 935-943.
• 16 Divelbiss BJ, Sollerman C, Adams BD. Early results of the Universal total wrist arthroplasty in rheumatoid arthritis. J Hand Surg Am 2002; 27 (02) 195-204.
• 17 Rizzo M, Beckenbaugh RD. Results of biaxial total wrist arthroplasty with a modified (long) metacarpal stem. J Hand Surg Am 2003; 28 (04) 577-584.
• 18 Volz RG. Total wrist arthroplasty: a new approach to wrist disability. Clin Orthop Relat Res 1977; 128: 180-189.
• 19 Levadoux M, Legré R. Total wrist arthroplasty with Destot prostheses in patients with posttraumatic arthritis. J Hand Surg Am 2003; 28 (03) 405-413.
• 20 Rahimtoola ZO, Rozing PM. Preliminary results of total wrist arthroplasty using the RWS Prosthesis. J Hand Surg Br 2003; 28 (01) 54-60.
• 21 Grosland NM, Brown TD. A voxel-based formulation for contact finite element analysis. Comput Methods Biomech Biomed Engin 2002; 5 (01) 21-32.
• 22 Yeoh D, Tourret L. Total wrist arthroplasty: A systematic review of the evidence from the last five years. J Hand Surg Eur 2014 Jun 23. [Epub ahead of print]
• 23 Krukhaug Y, Lie SA, Havelin I L. et al Results of 189 wrist replacements. A report from the Norwegian Arthroplasty Register. Acta Orthop 2011; 82 (04) 405-409.
• 24 Nydick JA, Greenberg SM, Stone JD. et al Clinical outcomes of total wrist arthroplasty. J Hand Surg Am 2012; 37 (08) 1580-1584.
• 25 Nydick JA, Watt JF, Garcia MJ. et al Clinical outcomes of arthrodesis and arthroplasty for the treatment of posttraumatic wrist arthritis. J Hand Surg Am 2013; 38 (05) 899-903.
• 26 Ward CM, Kuhl T, Adams BD. Five to ten-year outcomes of the Universal total wrist arthroplasty in patients with rheumatoid arthritis. J Bone Joint Surg Am 2011; 93 (10) 914-919.
• 27 Divelbiss BJ, Sollerman C, Adams BD. Early results of the Universal total wrist arthroplasty in rheumatoid arthritis. J Hand Surg Am 2002; 27 (02) 195-204.
• 28 Beer TA, Turner RH. Wrist arthrodesis for failed wrist implant arthroplasty. J Hand Surg Am 1997; 22 (04) 685-693.
• 29 Lorei MP, Figgie MP, Ranawat CS, Inglis AE. Failed total wrist arthroplasty. Analysis of failures and results of operative management. Clin Orthop Relat Res 1997; 342: 84-93.
• 30 Ebinger T, Katzmaier P, Wachter NJ. et al [Reconstruction of bone defect by vascularized fibular transfer after failed wrist arthroplasty]. Unfallchirurg 2003; 106 (02) 172-175.
• 31 Ebinger T, Katzmaier P, Wachter NJ. et al [Reconstruction of bone defect by vascularized fibular transfer after failed wrist arthroplasty]. Unfallchirurg 2003; 106 (02) 172-175.
• 32 Trieb K, Cetin E, Stulnig T, Wanivenhaus A. [Long-term results after uni- and bilateral high tibial osteotomies]. Z Orthop Ihre Grenzgeb 2003; 141 (01) 33-36.
• 33 Wagner ER, Elhassan BT, Kakar S. Long-term functional outcomes after bilateral total wrist arthrodesis. J Hand Surg Am 2015; 40 (02) 224-228.
• 34 Trieb K. Arthrodesis of the wrist in rheumatoid arthritis. World J Orthop 2014; 5 (04) 512-515.
• 35 Dréano T, Bouillis J, Ropars M. [Evaluation of a technical modification to Mannerfelt’s total wrist fusion technique in a series of 19 rheumatoid wrists]. Chir Main 2014; 33 (05) 344-349.
• 36 Fontaine C, Mouliade S, Wavreille G, Chantelot C. Wrist arthrodesis with intercalated iliac crest graft in mutilans rheumatoid arthritis. Chir Main 2014; 33 (05) 336-343.
• 37 Elherik FK, Beattie N, Breusch SJ. The Mannerfelt wrist arthrodesis - a study of patient-reported outcomes in a rheumatoid population. Surgeon 2014; 12 (02) 78-81.
• 38 Kluge S, Schindele S, Henkel T, Herren D. The modified Clayton-Mannerfelt arthrodesis of the wrist in rheumatoid arthritis: operative technique and report on 93 cases. J Hand Surg Am 2013; 38 (05) 999-1005.
• 39 Nydick JA, Watt JF, Garcia MJ. et al Clinical outcomes of arthrodesis and arthroplasty for the treatment of posttraumatic wrist arthritis. J Hand Surg Am 2013; 38 (05) 899-903.
• 40 Mannerfelt L, Malmsten M. Arthrodesis of the wrist in rheumatoid arthritis. A technique without external fixation. Scand J Plast Reconstr Surg 1971; 5 (02) 124-130.
• 41 Orbay JL, Feliciano BS, Orbay C. Locked Intramedullary Total Wrist Arthrodesis. J Wrist Surg 2012; 1 (02) 179-184.
• 42 Toma CD, Machacek P, Bitzan P. et al Fusion of the wrist in rheumatoid arthritis: a clinical and functional evaluation of two surgical techniques. J Bone Joint Surg Br 2007; 89 (12) 1620-1626.