Total wrist arthroplasty with Destot prostheses in patients with posttraumatic arthritis

The Journal of Hand Surgery
Michel Levadoux, Régis Legré

Abstract

To analyze the functional and radiologic results after Destot arthroplasty, a wrist prosthesis designed for posttraumatic arthritis, and to define the indications for the use of the implant. Using the Meuli point score system, 28 Destot total-wrist arthroplasties in 25 patients with stage 2 or 3 scaphoid nonunion advanced collapse and scapholunate advanced collapse were evaluated for 12 to 96 months after surgery. The overall ratings of the study group were excellent in 17 cases, good in 6, fair in 1, and poor in 4. Eighty-four percent showed improved range of motion and grip strength. Four patients experienced postoperative complications. No imbalance or dislocation was noted after surgery. The Destot implant seems to be a good solution to restore functional range of motion after posttraumatic wrist arthritis when arthrodesis is required by nonmanual laborers older than 50 years of age.

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Citations

Dec 1, 2009·Journal of Hand and Microsurgery·Indranil Chakrabarti
Mar 22, 2014·Acta Orthopaedica. Supplementum·Ole Reigstad
May 31, 2014·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Ole Reigstad, Magne Røkkum
Oct 27, 2010·The Journal of Hand Surgery, European Volume·Sennwald Gontran, Beaulieu Jean-Yves
Oct 31, 2012·The Journal of Bone and Joint Surgery. British Volume·O ReigstadM Røkkum
Jan 1, 2015·Journal of Orthopaedic Surgery·Rajesh Nair
Mar 14, 2007·Chirurgie de la main·C Chantelot

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