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The knee prosthesis has evolved for more than a hundred years, and is now a reliable intervention giving the patient indolence, mobility and stability. The prosthetic replacement may relate to one or more compartments of the knee: a single-compartmental, femoropatellar, total femorotibial prosthesis.

Early postoperative complications include: sepsis, cicatricial necrosis or deseases, thromboembolic complications. Later, patellar complications such as fracture, instability, rupture of the patellar tendon or Clunk syndrome may occur; A frontal or sagittal residual instability; Aseptic loosening; Polyethylene wear.

Rehabilitation aims at functional recovery, which implies sufficient mobility (0 ° -110 °) and a muscular control allowing a stable monopodal support. Postoperative trophic disorders require careful monitoring and medical surveillance to detect sepsis, algodystrophy, phlebitis. Physiotherapy must be divided into the day. No aggressive technique should be used and methods of muscle strengthening should focus on the closed chain. Finally, the proprioceptive exercises under load are imperative in order to ensure the safety of the walking function and the longevity of the prosthetic implant.

The analysis was clinical and radiological. All patients were reviewed by a single clinician independent of the prosthetic implant centers. It included a clinical compendium (etiological diagnosis, stage of osteoarthritis, functional discomfort at the time of operative indication) an analysis of the operative report, clinical follow-up and a subjective and objective assessment of the benefit of the intervention (amplitude Joint muscle strength).
Results

All patients evoke complete indolence after the disappearance of common postoperative algies. Mobility is superposable on the contralateral side. The force is never diminished by more than 25% compared to the healthy side. Seven cases required recovery with partial or complete replacement of the implant (4) or total arthrodesis of the wrist (3). Mechanical complications predominate on the carpal slope of the implant associating the loosening or fracture of a metacarpal part. We have counted 4 cases (out of 5 bankruptcies of material). They always occur in case of joint overexertion with work of force or chronic or transient hyper-stress of the implant. If you are looking for a nose reshaping, click here in order to find Surgeons in Las Vegas for Rhinoplasty.


Discussion

Many interventions are used in the treatment of post-traumatic osteoarthritis of the wrist, but none are truly satisfactory because they all sacrifice mobility, sometimes force, sometimes both. Total wrist arthroplasty of the Destot type allows the price of a bone sacrifice comparable to a resection of the first row to restore a painless wrist that is more mobile than after partial arthrodesis and with a force greater than that Find after resection of the first row.
Conclusion

Total wrist arthroplasty of the Destot type must be able to occupy a place in the therapeutic arsenal against post-traumatic arthrosis of the wrist. However, the implant is fragile and the indications must remain measured. The implant is reserved for the mature adult with advanced post-traumatic osteoarthritis of the wrist in the absence of a degenerative osteoarthritis, such as rheumatoid arthritis.