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Dr. Diego Miranda Performs Total Wrist Arthroplasty at WK Pierremont Health Center

12/10/2012

Diego A. Miranda, M.D.The first total wrist arthroplasty using the Universal2™ Total Wrist System has been performed at WK Pierremont Health Center, and the patient who underwent the procedure is recovering well.

“I performed my first total wrist arthroplasty in November 2006 in Alexandria, and have done a total of four, including one in Shreveport,” said Diego Miranda, MD, with Bossier Orthopaedics and Sports Medicine, and the surgeon who performed the surgery. “These were performed using a different implant from another company. I do believe in the improvements of the Universal2 implant both in design and instrumentation compared with other products in the market.”

According to Miranda, the surgery consists of removing the remaining worn cartilage from the surfaces of the wrist bones, replacing them with prosthetic components such as in a total hip or knee replacement. The complex anatomy and biomechanics of the wrist make this surgery technically demanding with an average duration of two to three hours. The patient is admitted overnight for pain control and starts early rehabilitation within two weeks from surgery. Even though the main goal of this surgery is to decrease pain, it also partially restores the lost range of motion. “There are no long term follow up studies yet; therefore, we don't know the survival of the implants,” he said.

The patient, a 48-year-old female, suffered from rheumatoid arthritis which affected the left wrist radiocarpal joint, among others. She had severe pain and decreased range of motion resistant to medication and conservative treatment, leading to limited use of her left wrist and hand. “Other surgeries could be performed, but the patient would like to keep some range of motion and functionality while decreasing the level of pain,” said Miranda.

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