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Replacement With Silicone Wrist Implant After Failed Silicone Wrist Arthroplasty: 3 Case Reports in Inflammatory Arthritis

Schindele, Stephan MD; Kolling, Christoph MD; Reissner, Lisa MD; Herren, Daniel MD

Techniques in Hand & Upper Extremity Surgery: December 2012 - Volume 16 - Issue 4 - p 198–201
doi: 10.1097/BTH.0b013e3182657818
Techniques

Revision surgery after failed silicone wrist arthroplasty is often challenging. In particular, in cases of inflammatory arthritis there is a high incidence of extensive bone loss which leads to a high complication rate in wrist fusion as a salvage procedure. Sometimes the surgeon may be faced with a patient in poor overall medical condition, who is very low demand so that the complexities of wrist fusion after a failed silicone arthroplasty may be contraindicated. For that situation, revision with a silicone prosthesis is a easy method in cases of severe osseous destruction in low demand patients with a long history of inflammatory arthritis.With 3 case reports will describe the topic of replacement with silicone wrist implant after failed silicone wrist arthroplasty.

Department of Hand Surgery, Schulthess Clinic, Zurich, Switzerland

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprints requests to Stephan Schindele, MD, Department of Hand Surgery, Schulthess Clinic, Lengghalde 2, 8008 Zurich, Switzerland. E-mail: stephan.schindele@kws.ch.

© 2012 Lippincott Williams & Wilkins, Inc.