Damert H-G
Klinik für Plastische, Ästhetische und Handchirurgie, HELIOS Bördeklinik, Kreiskrankenhaus 4, 39394, Oschersleben/Neindorf, Deutschland.
Orthopade. 2019 May;48(5):402-412. doi: 10.1007/s00132-019-03725-6.
Total wrist arthroplasty is still a rare procedure. This issue is being discussed controversially, particular in German-speaking countries. Lately, its acceptance has risen, especially as an alternative to wrist fusion regarding treatment of panarthritis or similar pathologies. Previous arthroplasty designs had short survival spans and devastating complications.
Currently, these problems have been reduced by the development of fourth generation arthroplasty systems. Nowadays, survival spans of 10 years and more can be seen on a regular basis. The development of hemi-arthroplasty may be of interest, especially for traumatic destruction of the distal radius. This review outlines the current state of wrist arthroplasty and is based on the author's 15 years of experience.
全腕关节置换术仍然是一种罕见的手术。这个问题一直存在争议，特别是在德语国家。最近，它的接受度有所提高，尤其是作为治疗全关节炎或类似病症时腕关节融合术的替代方案。以前的关节置换设计使用寿命短且并发症严重。
目前，通过第四代关节置换系统的发展，这些问题已经得到缓解。如今，经常可以看到10年及以上的使用寿命。半关节置换术的发展可能值得关注，特别是对于桡骨远端的创伤性破坏。这篇综述概述了腕关节置换术的现状，并基于作者15年的经验。
