If total wrist joint replacement is not an appropriate option for you, it is important to discuss other treatment options such as a total wrist fusion, which may be an appropriate alternative. It is important to discuss which treatment option you may best benefit from.
A total wrist fusion uses a plate and screws over the wrist joint to form one long bone. By forming one long bone, you eliminate the articulation between the arthritic surfaces which was causing the initial pain.
It is important to note, that unlike a total joint replacement, some motion, such as flexion and extension will be lost with a total wrist fusion.
VariAx 2 Wrist Fusion System has antomically designed pre-bent plates to match different patient's anatomies to try to give the patient the best possible results. Stryker has used our proprietary database of CT scans to help design plates which best fit a variety of different patients' anatomies. It is important to discuss your post operative expectations with your surgeons and your expected level of activity.
It's Your Move. Talk to your doctor today to see if wrist fusion is right for you.
IMPORTANT INFORMATION ABOUT WRIST REPLACEMENT
VariAx 2 Wrist Fusion System
Indications: The Stryker VariAx 2 Wrist Fusion System is indicated for wrist arthrodesis and fixation of fractures in patients with wrist arthritis or fractures of other small bones of the carpus.
Specific indications include:
- Post-traumatic arthritis of the joints of the wrist
- Rheumatoid wrist deformities requiring restoration
- Complex carpal instability
- Post-septic arthritis of the wrist
- Severe unremitting wrist pain related to motion
- Brachial plexus nerve palsies
- Tumor resection
- Spastic deformities
Contra-Indications: The physician’s education, training and professional judgment must be relied upon to choose the most appropriate device and treatment. Conditions presenting an increased risk of failure include:
- Any active or suspected latent infection or marked local inflammation in or about the affected area
- Compromised vascularity that would inhibit adequate blood supply to the fracture or the operative site
- Bone stock compromised by disease, infection or prior implantation that can not provide adequate support and/or fixation of the devices
- Material sensitivity, documented or suspected
- Obesity. An overweight or obese patient can produce loads on the implant that can lead to failure of the fixation of the device or to failure of the device itself
- Patients having inadequate tissue coverage over the operative site
- Implant utilization that would interfere with anatomical structures or physiological performance
- Any mental or neuromuscular disorder which would create an unacceptable risk of fixation failure or complications in postoperative care
- Other medical or surgical conditions which would preclude the potential benefit of surgery
ReMotion Total Wrist System
Indications: The ReMotion Total Wrist System is intended for replacement of the painful wrist joint due to rheumatoid arthritis, osteo-arthritis, or post-traumatic arthritis.
Contraindications: Bone, musculature, tendons, or adjacent soft tissue compromised by disease, infection, or prior implantation, which cannot provide adequate support or fixation for the prosthesis.
- Known sensitivity to materials used in this device
- Skeletal Immaturity
The information presented is for educational purposes only. Stryker is not dispensing medical advice. Please speak to your doctor to decide which type of surgery is right for you. Only your doctor can make the medical judgment which products and treatments are right for your own individual condition. As with any surgery, joint replacement surgery carries certain risks. Your surgeon will explain all the possible complications of the surgery, as well as side effects. Additionally, the lifetime of a joint replacement product is not infinite and varies with each individual. Also, each patient will experience a different post-operative activity level, depending on their own individual clinical factors. Your doctor will help counsel you about how to best maintain your activities in order to potentially prolong the lifetime of the device.
Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: ABG, GetAroundKnee, Mako, Rejuvenate, ReMotion, STAR, Stryker, T2, Together with our customers, we are driven to make healthcare better, VariAx. All other trademarks are trademarks of their respective owners or holders.
Content ID: REM-AWI-1, 01-2017
- "What Is Rheumatoid Arthritis?" What Is Rheumatoid Arthritis? Arthritis Today, n.d. Web. 16 Feb. 2017.
- "Arthritis." Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 02 Nov. 2016. Web. 16 Feb. 2017
- Bone, Muscle And Joint Team. "6 Myths About Joint Pain and Arthritis." Health Essentials from Cleveland Clinic. N.p., 20 July 2015. Web. 16 Feb. 2017.
- Sagerfors M., et al."Total wrist arthroplasty a single center study of 219 cases with 5 year follow-up." J Hand Surg AM 2015; 40(12):2380-2387.
- Herzberg, G., et al., "Remotion" Total wrist arthroplasty: preliminary results of a prospective international multicenter study of 215 cases". J Wrist Surg. 2012; 1:17-22.