Total wrist arthroplasty: recent advances and current recommendations.

Ole Reigstad
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引用次数: 0

Abstract

The latest generation of wrist arthroplasties provides good clinical function and pain relief with an acceptable revision/reoperation rate. The procedure is complex and technically demanding, both for the surgeon and the patient. The available implants (with the exception of one) have not been developed or refined in the last decade, which reduces the versatility and ability to adapt to specific patient anatomy, to manage implant/treatment problems and to perform successful revisions. Medical device regulation in Europe has led to a halt in development and a reduction in available implants for niche products such as wrist arthroplasty. To improve long-term outcomes after implantation, surgeons should refine and review their skills, implement improvements, avoid complications reported by experienced colleagues, and expect a learning curve and follow-up surgery. The author reviews the pitfalls and requirements of modern wrist arthroplasty.

全腕关节置换术:最新进展和目前的建议。
最新一代的腕关节置换术提供了良好的临床功能和疼痛缓解,并具有可接受的翻修/再手术率。手术过程复杂,技术要求高,对医生和病人都是如此。在过去的十年中,可用的植入物(除了一个)没有发展或改进,这降低了多功能性和适应特定患者解剖结构的能力,管理植入物/治疗问题并进行成功的修复。欧洲的医疗器械法规已导致研发停顿,手腕关节置换术等利基产品的可用植入物减少。为了改善植入术后的长期疗效,外科医生应该完善和回顾他们的技能,实施改进,避免有经验的同事报告的并发症,并期待学习曲线和随访手术。作者综述了现代腕部关节置换术的缺陷和要求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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