Revision of Motec Total Wrist Replacement in the Second Metacarpal

Author:

MAHER Mark1,ESTFAN Rami2,STOREY Philip1,PACKER Greg2

Affiliation:

1. Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK

2. Southend University Hospital, Mid and South Essex NHS Trust, Southend-on-Sea, UK

Abstract

Wrist arthroplasty is becoming more commonplace, with various implant choices available. The Motec (Swemac Orthopaedics AB, Linköping, Sweden) cementless ball-and-socket system is being increasingly utilised and is designed for the distal component to be implanted into the third metacarpal. However, distal component failure is a recognised complication. We outline our experience with the revision of this component into the second metacarpal. This technical note is presented through our experience of two patients who underwent revision arthroplasty for the management of peri-prosthetic fracture of the third metacarpal. This technique has demonstrated a safe and viable solution to this complication, achieving good anatomical centre of rotation, function, range of movement and patient satisfaction. Level of Evidence: Level V (Therapeutic)

Publisher

World Scientific Pub Co Pte Ltd

Subject

General Medicine

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