77th ASSH Annual Meeting - Back to Basics: Practice and Education-IC44: Wrist Arthritis in the Young Patient: Options, Considerations and Technical Tricks (AM22)

Video Transcription

Video Summary

The video discusses the challenges and treatment options for young patients with advanced wrist arthritis. Various types of arthritis, such as slack arthritis, rheumatoid arthritis, and inflammatory arthritis, are explored. Treatment options like partial wrist arthroplasty, proximal row carpectomy (PRC), four-corner fusions, capital interface, total wrist arthroplasties, and total wrist fusions are discussed, considering factors like age, occupation, and bone shape. The video examines the controversial use of PRC in younger patients, with research findings suggesting higher failure rates, especially in laborers. The benefits and limitations of PRC, such as motion preservation without improvement, are highlighted. The technique of selective neurectomy is also mentioned, which improves clinical outcome measures but doesn't reduce the risk of revision surgeries. Bone health and joint alignment restoration are emphasized for successful outcomes, with the use of screws to provide compression and ensure adequate fusion. The video concludes by emphasizing the need for more research to enhance treatment outcomes. In another video, three orthopedic surgeons discuss various arthroscopic treatment options for wrist arthritis, including arthrodesis and arthroplasty. Arthroscopic radial styloidectomy, proximal row carpectomy, four-corner fusion, and tendon interposition are also discussed as arthroscopic treatment options. Arthroscopy is seen as a minimally invasive treatment option that can provide pain relief and preserve motion, but individualization of treatment based on patient needs and understanding of risks and benefits is important.

Meta Tag

Session Tracks Arthritis

Speaker Daniel A. Osei, MD, MSc

Speaker Eric R. Wagner, MD

Speaker Lorenzo Merlini

Speaker Marco Rizzo, MD

Speaker Marion Burnier, MD

Speaker Michael B. Gottschalk, MD

Speaker Steven L. Moran, MD

Keywords

treatment options

wrist arthritis

types of arthritis

PRC

four-corner fusions

total wrist arthroplasties

motion preservation

selective neurectomy

bone health

arthroscopic treatment options

minimally invasive treatment