Jagmeet Bhamra, Kuljeet Bhamra, Sandip Hindocha and Wasim Khan Pages 23 - 28 ( 6 )
Rheumatoid arthritis is the most common form of inflammatory arthritis with a predilection for the hand and wrist. The aggressive nature of the disease can lead to severe joint destruction causing significant disability. Surgical options for pan-carpal arthritis include total wrist arthroplasty and total wrist fusion both with varying outcomes, yet both have a role in the carefully selected patients. Fusion remains a popular procedure with consistent reliable results with few complications. We present a review of current evidence, indications and guidance for both fusion and arthroplasty in rheumatoid arthritis.
Extension, flexion, inflammatory arthritis, outcome, rheumatoid arthritis, total wrist arthroplasty, total wrist fusion.
Clinical Lecturer, University College London Institute of Orthopaedics and Musculoskeletal Science, Royal National Orthopaedic Hospital, Stanmore, London, HA7 4LP