Reigstad Ole
Orthopaedic Department, Martina Hansens Hospital, Norway.
J Hand Surg Eur Vol. 2025 Jan;50(1):34-41. doi: 10.1177/17531934241276383.
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.
最新一代的腕关节置换术能提供良好的临床功能并缓解疼痛，翻修/再次手术率也在可接受范围内。该手术对于外科医生和患者而言都很复杂，技术要求高。过去十年间，现有的植入物（有一种除外）没有得到改进或优化，这降低了其通用性以及适应特定患者解剖结构、处理植入物/治疗问题和成功进行翻修的能力。欧洲的医疗器械监管导致腕关节置换术等小众产品的研发停滞，可用植入物减少。为提高植入后的长期效果，外科医生应提升并审视自身技能，进行改进，避免有经验的同事报告过的并发症，同时要做好经历学习曲线和接受后续手术的准备。作者回顾了现代腕关节置换术的陷阱和要求。
