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Total el bileği artroplastisinde komponent dizilimi: İlk vakalarında cerrahların başarı oranı

Year 2014, Volume: 48 Issue: 3, 259 - 261, 30.05.2014

Montserrat Ocampos Fernando Corella Blanca Del Campo Maribel Carnicer

https://doi.org/10.3944/AOTT.2014.3017

Abstract

Amaç:Bu çalışmada cerrahların ilk el bileği artroplasti ameliyatlarında başarılı bir dizilim elde etmeleri olasılığının değerlendirilmesi amaçlandı.

Çalışma planı: Yedi kadavranın 14 el bileği üzerinde 14 deneyimsiz cerrah tarafından gerçekleştirilen total el bileği artroplastileri (ReMotion®) radyolojik olarak incelendi. Posteroanterior görünümdeki radial komponent dizilimi (RKD-PA), lateral görünümdeki (RKD-Lat), posteroanterior görünümdeki karpal komponent dizilimi (KKD-PA) ve lateral görünümdeki karpal komponent diziliminin (KKD-Lat) ölçümleri yapıldı.

Bulgular: Ortalama RKD-PA açısı 9.6º, RKD-Lat açısı 4.6º, KKD-PA açısı 4.4º ve KKD-Lat açısı 10.1º olarak kaydedildi. Yapılan artroplastilerin hiçbirinde tatmin edici dizilim sağlanamadı.

Çıkarımlar: Deneyimsiz cerrahların ilk total el bileği artroplastisi deneyimlerinde, özellikle karpal komponentte doğru bir komponent dizilimini sağlaması zor gözükmektedir. Bu nedenle, kemiğe tespitinden önce, protezin pozisyonunun röntgen görüntüleri ile doğrulanmasını tavsiye etmekteyiz.

 

Keywords

Deneyimsiz cerrah; dizilim; ilk el bileği artroplastisi

References

  • Adams BD. Total wrist arthroplasty. Orthopedics 2004;27:278-84.
  • Adams BD. Complications of wrist arthroplasty. Hand Clin 2010;26:213-20. CrossRef
  • Anderson MC, Adams BD. Total wrist arthroplasty. Hand Clin 2005;21:621-30. CrossRef
  • Gupta A. Total wrist arthroplasty. Am J Orthop (Belle Mead NJ) 2008;37(8 Suppl 1):12-6.
  • Cooney WP 3rd, Beckenbaugh RD, Linscheid RL. Total wrist arthroplasty. Problems with implant failures. Clin Orthop Relat Res 1984;187:121-8.
  • Lorei MP, Figgie MP, Ranawat CS, Inglis AE. Failed total wrist arthroplasty. Analysis of failures and results of oper- ative management. Clin Orthop Relat Res 1997;342:84- 93. CrossRef
  • Meuli HC. Total wrist arthroplasty. Experience with a noncemented wrist prosthesis. Clin Orthop Relat Res 1997;342:77-83. CrossRef
  • Garvin KL, Barrera A, Mahoney CR, Hartman CW, Haider H. Total knee arthroplasty with a computer- navigated saw: a pilot study. Clin Orthop Relat Res 2013;471:155-61. CrossRef
  • Nam D, Jerabek SA, Cross MB, Mayman DJ. Cadaveric analysis of an accelerometer-based portable navigation device for distal femoral cutting block alignment in total knee arthroplasty. Comput Aided Surg 2012;17:205-10.
  • Takwale VJ, Nuttall D, Trail IA, Stanley JK. Biaxial total wrist replacement in patients with rheumatoid arthritis. Clinical review, survivorship and radiological analysis. J Bone Joint Surg Br 2002;84:692-9. CrossRef
  • Figgie HE 3rd, Inglis AE, Straub LR, Ranawat CS. A critical analysis of alignment factors influencing functional results following trispherical total wrist arthroplasty. J Ar- throplasty 1986;1:149-56. CrossRef
  • Meuli HC. Meuli total wrist arthroplasty. Clin Orthop Relat Res 1984;187:107-11.
  • Volz RG. Total wrist arthroplasty. A clinical review. Clin Orthop Relat Res 1984;187:112-20.

Component alignment in total wrist arthroplasty: success rate of surgeons in their first cases

Year 2014, Volume: 48 Issue: 3, 259 - 261, 30.05.2014

Montserrat Ocampos Fernando Corella Blanca Del Campo Maribel Carnicer

https://doi.org/10.3944/AOTT.2014.3017

Abstract

Objective:The aim of this study was to assess the probability of achieving a satisfactory alignment in the performance of a first wrist arthroplasty.

Methods: The total wrist arthroplasties (ReMotion®) of 14 wrists of 7 corpses performed by 14 inexperienced surgeons were reviewed radiologically. Radial component alignment in the posteroanterior view (RCA-PA), radial component alignment in the lateral view (RCA-Lat), carpal component alignment in the posteroanterior view (CCA-PA) and carpal component alignment in lateral view (CCA-Lat) were measured.

Results: Mean RCA-PA angle was 9.6º, mean RCA-Lat angle 4.6º, mean CCA-PA angle 4.4º and mean CCA-Lat angle 10.1º. None of the arthroplasties had a satisfactory alignment.

Conclusion: It is difficult for an inexperienced surgeon to achieve a correct component alignment in his/her first total wrist arthroplasty, especially in the carpal component. Therefore, we recommend that the position of the prosthesis is confirmed before securing it to the bone with the help of X-ray images.

Keywords

Alignment first wrist arthroplasty inexperienced surgeon

References

  • Adams BD. Total wrist arthroplasty. Orthopedics 2004;27:278-84.
  • Adams BD. Complications of wrist arthroplasty. Hand Clin 2010;26:213-20. CrossRef
  • Anderson MC, Adams BD. Total wrist arthroplasty. Hand Clin 2005;21:621-30. CrossRef
  • Gupta A. Total wrist arthroplasty. Am J Orthop (Belle Mead NJ) 2008;37(8 Suppl 1):12-6.
  • Cooney WP 3rd, Beckenbaugh RD, Linscheid RL. Total wrist arthroplasty. Problems with implant failures. Clin Orthop Relat Res 1984;187:121-8.
  • Lorei MP, Figgie MP, Ranawat CS, Inglis AE. Failed total wrist arthroplasty. Analysis of failures and results of oper- ative management. Clin Orthop Relat Res 1997;342:84- 93. CrossRef
  • Meuli HC. Total wrist arthroplasty. Experience with a noncemented wrist prosthesis. Clin Orthop Relat Res 1997;342:77-83. CrossRef
  • Garvin KL, Barrera A, Mahoney CR, Hartman CW, Haider H. Total knee arthroplasty with a computer- navigated saw: a pilot study. Clin Orthop Relat Res 2013;471:155-61. CrossRef
  • Nam D, Jerabek SA, Cross MB, Mayman DJ. Cadaveric analysis of an accelerometer-based portable navigation device for distal femoral cutting block alignment in total knee arthroplasty. Comput Aided Surg 2012;17:205-10.
  • Takwale VJ, Nuttall D, Trail IA, Stanley JK. Biaxial total wrist replacement in patients with rheumatoid arthritis. Clinical review, survivorship and radiological analysis. J Bone Joint Surg Br 2002;84:692-9. CrossRef
  • Figgie HE 3rd, Inglis AE, Straub LR, Ranawat CS. A critical analysis of alignment factors influencing functional results following trispherical total wrist arthroplasty. J Ar- throplasty 1986;1:149-56. CrossRef
  • Meuli HC. Meuli total wrist arthroplasty. Clin Orthop Relat Res 1984;187:107-11.
  • Volz RG. Total wrist arthroplasty. A clinical review. Clin Orthop Relat Res 1984;187:112-20.
There are 13 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Montserrat Ocampos This is me

Fernando Corella This is me

Blanca Del Campo This is me

Maribel Carnicer This is me

Publication Date May 30, 2014
Published in Issue Year 2014 Volume: 48 Issue: 3

Cite

APA Ocampos, M., Corella, F., Del Campo, B., Carnicer, M. (2014). Component alignment in total wrist arthroplasty: success rate of surgeons in their first cases. Acta Orthopaedica Et Traumatologica Turcica, 48(3), 259-261. https://doi.org/10.3944/AOTT.2014.3017
AMA Ocampos M, Corella F, Del Campo B, Carnicer M. Component alignment in total wrist arthroplasty: success rate of surgeons in their first cases. Acta Orthopaedica et Traumatologica Turcica. May 2014;48(3):259-261. doi:10.3944/AOTT.2014.3017
Chicago Ocampos, Montserrat, Fernando Corella, Blanca Del Campo, and Maribel Carnicer. “Component Alignment in Total Wrist Arthroplasty: Success Rate of Surgeons in Their First Cases”. Acta Orthopaedica Et Traumatologica Turcica 48, no. 3 (May 2014): 259-61. https://doi.org/10.3944/AOTT.2014.3017.
EndNote Ocampos M, Corella F, Del Campo B, Carnicer M (May 1, 2014) Component alignment in total wrist arthroplasty: success rate of surgeons in their first cases. Acta Orthopaedica et Traumatologica Turcica 48 3 259–261.
IEEE M. Ocampos, F. Corella, B. Del Campo, and M. Carnicer, “Component alignment in total wrist arthroplasty: success rate of surgeons in their first cases”, Acta Orthopaedica et Traumatologica Turcica, vol. 48, no. 3, pp. 259–261, 2014, doi: 10.3944/AOTT.2014.3017.
ISNAD Ocampos, Montserrat et al. “Component Alignment in Total Wrist Arthroplasty: Success Rate of Surgeons in Their First Cases”. Acta Orthopaedica et Traumatologica Turcica 48/3 (May 2014), 259-261. https://doi.org/10.3944/AOTT.2014.3017.
JAMA Ocampos M, Corella F, Del Campo B, Carnicer M. Component alignment in total wrist arthroplasty: success rate of surgeons in their first cases. Acta Orthopaedica et Traumatologica Turcica. 2014;48:259–261.
MLA Ocampos, Montserrat et al. “Component Alignment in Total Wrist Arthroplasty: Success Rate of Surgeons in Their First Cases”. Acta Orthopaedica Et Traumatologica Turcica, vol. 48, no. 3, 2014, pp. 259-61, doi:10.3944/AOTT.2014.3017.
Vancouver Ocampos M, Corella F, Del Campo B, Carnicer M. Component alignment in total wrist arthroplasty: success rate of surgeons in their first cases. Acta Orthopaedica et Traumatologica Turcica. 2014;48(3):259-61.