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- Boeckstyns, M. E. H., et al.
(författare)
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Posttraumatic Radiocarpal Arthritis
- 2021
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Ingår i: Distal Radius Fractures. Evidence-Based Management. Jesse Jupiter and Michel Chammas (red.). - : Elsevier. - 9780323757645 ; , s. 401-411
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Before embarking for salvage procedures for wrist osteoarthritis after distal radial fractures, conservative treatment and corrective osteotomy should have been considered. If these measures are inapplicable or fail, extensive or partial wrist denervation should be attempted, preferably extensively. Partial or total wrist arthrodesis or arthroplasty are the next options to be considered, arthroplasties being more suited for the low-demand patients. If the midcarpal joint is intact a radioscapholunate arthrodesis is another option. In low-demand patients, hemi-arthroplasty possibly is an alternative. In patients who request a final procedure, or in the case of panarthritis, total wrist arthrodesis (or as an alternative in the elderly/low-demand patient: total wrist arthroplasty) is preferred. © 2021 Elsevier Inc. All rights reserved.
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