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MODERN RHEUMATOLOGY Vol.14 No.6

>MR14-6

A total wrist arthroplasty in rheumatoid arthritis: a case followed for 24 years
Michio Minami1, Sadatoshi Kato1, Kazuhiko Hirachi1 and Masahiro Nagai1
(1) Hokkaido Orthopedic Memorial Hospital, 7-1 Hiragishi, Toyohira-ku, Sapporo 060-0937, Japan

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Abstract
We report a case of rheumatoid arthritis treated with a total wrist arthroplasty. A Meuli-type total wrist arthroplasty was performed on the left wrist in 1979. We have treated the patient's rheumatoid arthritis with disease-modifying antirheumatic drugs (DMARDs) (Actarit 100 mg and Mijoribine 50 mg) and nonsteroidal anti-inflammatory drugs (NSAIDs) for a total of 26 years before and after the total wrist arthroplasty. The activity of the rheumatoid arthritis has been kept at a low level. The operated wrist was followed up for 24 years postoperatively. It is thought that the antirheumatic treatments over a long period have been very successful in preventing the destruction of the operated wrist.
 
Key words
Long-term follow up - Rheumatoid arthritis (RA) - Total wrist arthroplasty
 
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