Total wrist arthroplasty with the Freedom prothesis: A short-term follow-up.

Brown, Matthew; Wharton, Rupert; Begum, Rumina; Trail, Ian; Hayton, Mike; Talwalkar, Sumedh

Total wrist arthroplasty with the Freedom prothesis: A short-term follow-up.

Authors

Brown, Matthew

Wharton, Rupert

Begum, Rumina

Trail, Ian

Hayton, Mike

Talwalkar, Sumedh

Issue Date

2024-01-15

Type

Article

Citation

J Hand Surg Eur vol 49(1):40-47

Abstract

We retrospectively reviewed our series of primary total wrist arthroplasty with the Freedom® prosthesis. The primary outcome measure was revision, and secondary measures included radiographic loosening, pain, complications, movement range, grip strength and patient-reported measures. We reviewed 12 implants in 11 patients (mean age 59 years, range 45-80) with a mean radiological and clinical follow-up of 2.7 and 3 years, respectively. One radial component failed to integrate and was revised at Day 84. Four carpal components demonstrated areas of lucency. There was a statistically significant reduction in pain, and total flexion-extension increased. Despite high patient satisfaction on a ten-point visual analogue scale score (mean 8.7 out of 10), the mean patient-rated wrist evaluation, Quick Disabilities of the Arm, Shoulder and Hand and Patient Evaluation Measure scores were 52, 55 and 53, respectively. The Freedom® implant reduced pain and preserved wrist movement in our patients; however, annual surveillance is recommended due to the high incidence of early carpal component lucency.Level of evidence: IV.

Collections

Trauma & Orthopaedics

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