EXPERIENCE OF TOTAL WRIST ARTHROPLASTY WITH SILASTIC IMPLANTS PLUS GROMMETS

The experience with radiocarpal joint reconstruction in rheumatoid art hritis using silastic implants and titanium grommets is reported, Fort y-one implants were placed in 36 patients from 1986 to 1992, with a fo llowup of 32 implants in 29 patients ranging from 2.5 years to 8 years , After a brief review of the crucial points of the procedure, includi ng indications and surgical technique, the results were examined using a protocol derived from the one proposed in 1988 for an international multicenter study, The procedure, when correct indications are select ed and correct surgical steps are performed, allows predictable result s with a satisfying recovery of wrist function, Preservation of wrist function through the years seems enhanced by titanium grommets.