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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Rehabilitation protocoll after total wrist arthroplasty in rheumatoid patients

Meeting Abstract

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  • presenting/speaker Giulia Guidi - Hand Rehabilitation Center, Florence, Italy
  • Sandra Pfanner - Hand and reconstructive microsurgery Unit Careggi, Florence, Italy
  • Andrea Poggetti - Hand and reconstructive microsurgery Unit Careggi, Florence, Italy
  • Massimo Ceruso - Hand and reconstructive microsurgery Unit Careggi, Florence, Italy

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSHT19-1233

doi: 10.3205/19ifssh1555, urn:nbn:de:0183-19ifssh15552

Published: February 6, 2020

© 2020 Guidi et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: To report the follow up outcomes of 29 wrist arthroplasty in rheumatoid wrist (total wrist system) with rehabilitation protocol. Long-term follow up.

The rheumatic impairment with pain of the wrist during movement and the limitation of joint range results in significant disability for the patient by limiting the conduct of work activities and daily life: the purpose of the rehabilitation after surgery is to protect the surgical goal, maintaining the obtained result, restore function by looking for a stable and pain free wrist.

Materials and Methods: To report the follow up outcomes of 29 wrist arthroplasty in rheumatoid wrist (total wrist system) with rehabilitation protocol. Long-term follow up.

The rheumatic impairment with pain of the wrist during movement and the limitation of joint range results in significant disability for the patient by limiting the conduct of work activities and daily life: the purpose of the rehabilitation after surgery is to protect the surgical goal, maintaining the obtained result, restore function by looking for a stable and pain free wrist.

Results: We describe the results obtained for 29 patients who have undergone total wrist replacements between 2003-2018.

All patients had good or complete pain relief, the mean visual analogue scale pain score was postop 0,3 (0-10) (preoperative was 9,1). The mean grip strength was 11 kg with Jamar and Pinch 3,4.

Average patient satisfaction (0/10) was rated 9,36. The mean dash score was 44,8 and PWRE was 39,5.

Conclusions: Communication between the surgeon and physiotherapist plays an important role in the post operative success, in the determination of the appropriate timing for the different phases of treatment; All patients demonstrated and improved ROM postoperatively and pain free; good functional outcome has been achieved after the total wrist arthroplasty.