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Tech Hand Up Extrem Surg. 2012 Dec;16(4):198-201. doi: 10.1097/BTH.0b013e3182657818.

Replacement with silicone wrist implant after failed silicone wrist arthroplasty: 3 case reports in inflammatory arthritis.

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Department of Hand Surgery, Schulthess Clinic, Zurich, Switzerland.


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.

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