Design considerations for a wrist implant

Duncan Eoin Thomson Shepherd; A. J. Johnstone

doi:10.1016/S1350-4533(02)00148-0

Design considerations for a wrist implant

Duncan Eoin Thomson Shepherd, A. J. Johnstone

Research output: Contribution to journal › Article › peer-review

39 Citations (Scopus)

Abstract

Rheumatoid arthritis and other forms of inflammatory arthritides commonly affect the wrist leading to pain, deformity and a reduced quality of life for the patient. Joint arthroplasty is an attractive solution for improving function while relieving pain, but unfortunately, current designs of wrist arthroplasties have not met with great success. This review paper describes the anatomy and biomechanics of the normal wrist, and reviews the current and past designs of artificial wrist joints. The design considerations for a successful wrist implant are discussed, and it is concluded that future generations of wrist implants should not attempt to recreate the natural wrist, but permit a limited functional range of motion. Different materials and methods of fixation of artificial wrist joints should also be considered to improve implant durability.

Original language	English
Pages (from-to)	641-650
Number of pages	9
Journal	Medical Engineering & Physics
Volume	24
Issue number	10
DOIs	https://doi.org/10.1016/S1350-4533(02)00148-0
Publication status	Published - 2002

Keywords

arthroplasty
design
implant
review
rheumatoid arthritis
wrist
POLYURETHANE ELASTOMERS
RHEUMATOID WRIST
CARPAL BONES
MOTION
ARTHROPLASTY
PROSTHESIS
KINEMATICS
JOINT
PLANE

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10.1016/S1350-4533(02)00148-0

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title = "Design considerations for a wrist implant",

abstract = "Rheumatoid arthritis and other forms of inflammatory arthritides commonly affect the wrist leading to pain, deformity and a reduced quality of life for the patient. Joint arthroplasty is an attractive solution for improving function while relieving pain, but unfortunately, current designs of wrist arthroplasties have not met with great success. This review paper describes the anatomy and biomechanics of the normal wrist, and reviews the current and past designs of artificial wrist joints. The design considerations for a successful wrist implant are discussed, and it is concluded that future generations of wrist implants should not attempt to recreate the natural wrist, but permit a limited functional range of motion. Different materials and methods of fixation of artificial wrist joints should also be considered to improve implant durability.(C) 2002 IPEM. Published by Elsevier Science Ltd. All rights reserved.",

keywords = "arthroplasty, design, implant, review, rheumatoid arthritis, wrist, POLYURETHANE ELASTOMERS, RHEUMATOID WRIST, CARPAL BONES, MOTION, ARTHROPLASTY, PROSTHESIS, KINEMATICS, JOINT, PLANE",

author = "Shepherd, {Duncan Eoin Thomson} and Johnstone, {A. J.}",

year = "2002",

doi = "10.1016/S1350-4533(02)00148-0",

language = "English",

volume = "24",

pages = "641--650",

journal = "Medical Engineering & Physics",

issn = "1350-4533",

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T1 - Design considerations for a wrist implant

AU - Shepherd, Duncan Eoin Thomson

AU - Johnstone, A. J.

PY - 2002

Y1 - 2002

N2 - Rheumatoid arthritis and other forms of inflammatory arthritides commonly affect the wrist leading to pain, deformity and a reduced quality of life for the patient. Joint arthroplasty is an attractive solution for improving function while relieving pain, but unfortunately, current designs of wrist arthroplasties have not met with great success. This review paper describes the anatomy and biomechanics of the normal wrist, and reviews the current and past designs of artificial wrist joints. The design considerations for a successful wrist implant are discussed, and it is concluded that future generations of wrist implants should not attempt to recreate the natural wrist, but permit a limited functional range of motion. Different materials and methods of fixation of artificial wrist joints should also be considered to improve implant durability.(C) 2002 IPEM. Published by Elsevier Science Ltd. All rights reserved.

AB - Rheumatoid arthritis and other forms of inflammatory arthritides commonly affect the wrist leading to pain, deformity and a reduced quality of life for the patient. Joint arthroplasty is an attractive solution for improving function while relieving pain, but unfortunately, current designs of wrist arthroplasties have not met with great success. This review paper describes the anatomy and biomechanics of the normal wrist, and reviews the current and past designs of artificial wrist joints. The design considerations for a successful wrist implant are discussed, and it is concluded that future generations of wrist implants should not attempt to recreate the natural wrist, but permit a limited functional range of motion. Different materials and methods of fixation of artificial wrist joints should also be considered to improve implant durability.(C) 2002 IPEM. Published by Elsevier Science Ltd. All rights reserved.

KW - arthroplasty

KW - design

KW - implant

KW - review

KW - rheumatoid arthritis

KW - wrist

KW - POLYURETHANE ELASTOMERS

KW - RHEUMATOID WRIST

KW - CARPAL BONES

KW - MOTION

KW - ARTHROPLASTY

KW - PROSTHESIS

KW - KINEMATICS

KW - JOINT

KW - PLANE

U2 - 10.1016/S1350-4533(02)00148-0

DO - 10.1016/S1350-4533(02)00148-0

M3 - Article

SN - 1350-4533

VL - 24

SP - 641

EP - 650

JO - Medical Engineering & Physics

JF - Medical Engineering & Physics

IS - 10

ER -

Design considerations for a wrist implant

Abstract

Keywords

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