Article ID Journal Published Year Pages File Type
9358250 Revue de Chirurgie Orthopédique et Réparatrice de l'Appareil Moteur 2005 10 Pages PDF
Abstract
There is a discordance between radiological and clinical results, a difference which widens with longer follow-up. A clear improvement in the pain score and the moderate functional demands of these patients are probably the reasons for their satisfaction despite radiological degradation. Many desire more wrist force. Our indications have evolved over time with the development after 1980 of the radiolunar arthrodesis procedures that we associate with dorsal synovectomy even in early-stage patients in order to limit radiological degradation and ulnar translation of the carpus. Swanson radiocarpal implants were completely abandoned in 1987 despite favorable clinical results due to the radiological degradation with bone loss and risk of siliconitis. For Simmen III wrists, total arthrodesis remains the only sure and definitive solution.
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Health Sciences Medicine and Dentistry Orthopedics, Sports Medicine and Rehabilitation
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