Total wrist arthroplasty with the Freedom® prosthesis: a short-term follow-up

We retrospectively reviewed our series of primary total wrist arthroplasty with the Freedom® prosthesis. The primary outcome measure was revision, and secondary measures included radiographic loosening, pain, complications, movement range, grip strength and patient-reported measures. We reviewed 12...

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Bibliographic Details
Published in:The Journal of hand surgery, European volume European volume, 2024-01, Vol.49 (1), p.40-47
Main Authors: Brown, Matthew, Wharton, Rupert, Begum, Rumina, Trail, Ian, Hayton, Mike, Talwalkar, Sumedh
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Arthroplasty, Replacement
Follow-Up Studies
Freedom
Humans
Joint Prosthesis
Middle Aged
Pain
Prosthesis Design
Range of Motion, Articular
Retrospective Studies
Treatment Outcome
Wrist - surgery
Wrist Joint - surgery
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Summary:We retrospectively reviewed our series of primary total wrist arthroplasty with the Freedom® prosthesis. The primary outcome measure was revision, and secondary measures included radiographic loosening, pain, complications, movement range, grip strength and patient-reported measures. We reviewed 12 implants in 11 patients (mean age 59 years, range 45–80) with a mean radiological and clinical follow-up of 2.7 and 3 years, respectively. One radial component failed to integrate and was revised at Day 84. Four carpal components demonstrated areas of lucency. There was a statistically significant reduction in pain, and total flexion–extension increased. Despite high patient satisfaction on a ten-point visual analogue scale score (mean 8.7 out of 10), the mean patient-rated wrist evaluation, Quick Disabilities of the Arm, Shoulder and Hand and Patient Evaluation Measure scores were 52, 55 and 53, respectively. The Freedom® implant reduced pain and preserved wrist movement in our patients; however, annual surveillance is recommended due to the high incidence of early carpal component lucency. Level of evidence: IV
ISSN:1753-1934
2043-6289
DOI:10.1177/17531934231193119