A total wrist arthroplasty in rheumatoid arthritis: a case followed for 24 years

We report a case of rheumatoid arthritis treated with a total wrist arthroplasty. A Meuli-type total wrist arthroplasty was performed on the left wrist in 1979. We have treated the patient's rheumatoid arthritis with disease-modifying antirheumatic drugs (DMARDs) (Actarit 100 mg and Mijoribine...

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Bibliographic Details
Published in:Modern rheumatology 2004-12, Vol.14 (6), p.488
Main Authors: Minami, Michio, Kato, Sadatoshi, Hirachi, Kazuhiko, Nagai, Masahiro
Format: Article
Language:English
Subjects:
Case studies
Drug therapy
Rheumatoid arthritis
Surgery
Wrist
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Summary:We report a case of rheumatoid arthritis treated with a total wrist arthroplasty. A Meuli-type total wrist arthroplasty was performed on the left wrist in 1979. We have treated the patient's rheumatoid arthritis with disease-modifying antirheumatic drugs (DMARDs) (Actarit 100 mg and Mijoribine 50 mg) and nonsteroidal anti-inflammatory drugs (NSAIDs) for a total of 26 years before and after the total wrist arthroplasty. The activity of the rheumatoid arthritis has been kept at a low level. The operated wrist was followed up for 24 years postoperatively. It is thought that the antirheumatic treatments over a long period have been very successful in preventing the destruction of the operated wrist. [PUBLICATION ABSTRACT]
ISSN:1439-7595
1439-7609
DOI:10.1007/s10165-004-0345-y