BIOMAT Database Logo BIOMAT Database Logo

Wrist joint arthroplasty in rheumatoid arthritis: a comparison between the Meuli and Swanson prostheses. 1984

B Summers, and M J Hubbard

A personal series of twelve wrist arthroplasties performed on ten patients with rheumatoid arthritis of the radio-carpal joint were reviewed in retrospect. Six arthroplasties were of the Meuli metal/plastic/metal design and six were of the Swanson silastic type with an additional silastic ulnar head prosthesis. Both prostheses were successful in giving a pain free stable joint with some degree of useful movement. The Meuli appeared to give a greater range of movement than the more constrained Swanson prosthesis. Although complications were encountered it is concluded that wrist arthroplasty does have a place in the management of patients with rheumatoid arthritis of the radio-carpal joint. Our present policy is to continue with the use of the Swanson design because of the advantages of a cement free prosthesis.

UI MeSH Term Description Entries
D007595 Joint Prosthesis Prostheses used to partially or totally replace a human or animal joint. (from UMDNS, 1999) Joint Prostheses,Prostheses, Joint,Prosthesis, Joint
D008670 Metals Electropositive chemical elements characterized by ductility, malleability, luster, and conductance of heat and electricity. They can replace the hydrogen of an acid and form bases with hydroxyl radicals. (Grant & Hackh's Chemical Dictionary, 5th ed) Metal
D010969 Plastics Polymeric materials (usually organic) of large molecular weight which can be shaped by flow. Plastic usually refers to the final product with fillers, plasticizers, pigments, and stabilizers included (versus the resin, the homogeneous polymeric starting material). (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Plastic
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011474 Prosthesis Design The plan and delineation of prostheses in general or a specific prosthesis. Design, Prosthesis,Designs, Prosthesis,Prosthesis Designs
D003258 Consumer Behavior Behavior associated with the procurement of goods, services, or experiences. Consumer Preference,Consumer Satisfaction,Behavior, Consumer,Behaviors, Consumer,Consumer Behaviors,Consumer Preferences,Preference, Consumer,Preferences, Consumer,Satisfaction, Consumer
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001172 Arthritis, Rheumatoid A chronic systemic disease, primarily of the joints, marked by inflammatory changes in the synovial membranes and articular structures, widespread fibrinoid degeneration of the collagen fibers in mesenchymal tissues, and by atrophy and rarefaction of bony structures. Etiology is unknown, but autoimmune mechanisms have been implicated. Rheumatoid Arthritis
D012826 Silicone Elastomers Polymers of silicone that are formed by crosslinking and treatment with amorphous silica to increase strength. They have properties similar to vulcanized natural rubber, in that they stretch under tension, retract rapidly, and fully recover to their original dimensions upon release. They are used in the encapsulation of surgical membranes and implants. Elastomers, Silicone,Rubber Silicone,Silicone Rubber,Elastosil,Microfil,SE-30,Elastosils,Microfils,SE 30,SE30,Silicone Elastomer
D014955 Wrist Joint The joint that is formed by the distal end of the RADIUS, the articular disc of the distal radioulnar joint, and the proximal row of CARPAL BONES; (SCAPHOID BONE; LUNATE BONE; triquetral bone). Joint, Wrist,Joints, Wrist,Wrist Joints

Related Publications

B Summers, and M J Hubbard
Swanson implant arthroplasty of the wrist in rheumatoid arthritis.
June 1982, Clinical orthopaedics and related research,
B Summers, and M J Hubbard
Swanson implant arthroplasty of the wrist in rheumatoid arthritis.
October 1984, Journal of hand surgery (Edinburgh, Scotland),
B Summers, and M J Hubbard
Total wrist arthroplasty (Meuli) for the treatment of advanced rheumatoid arthritis.
December 1978, The Journal of the American Osteopathic Association,
B Summers, and M J Hubbard
Swanson metacarpophalangeal joint arthroplasty in patients with rheumatoid arthritis.
September 1997, Clinical orthopaedics and related research,
B Summers, and M J Hubbard
Meuli total wrist arthroplasty.
January 1984, Clinical orthopaedics and related research,
B Summers, and M J Hubbard
Swanson proximal interphalangeal joint arthroplasty in patients with rheumatoid arthritis.
September 1997, Clinical orthopaedics and related research,
B Summers, and M J Hubbard
Maintaining wrist function in severe rheumatoid arthritis: a case study of revision Swanson wrist arthroplasty staged via a wrist fusion in rheumatoid arthritis.
December 2002, 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,
B Summers, and M J Hubbard
Swanson silicone arthroplasty of the wrist in rheumatoid arthritis: a long-term follow-up.
January 1992, The Journal of hand surgery,
B Summers, and M J Hubbard
Metacarpophalangeal joint arthroplasty in rheumatoid arthritis: results of Swanson implants and digital joint operative arthroplasty.
January 1999, Archives of orthopaedic and trauma surgery,
B Summers, and M J Hubbard
Swanson silicone rubber interpositional arthroplasty of the wrist and of the metacarpophalangeal joints in rheumatoid arthritis.
January 1988, Acta orthopaedica Belgica,
Copied contents to your clipboard!