Arthroplasty of the upper extremity is an established surgical intervention in the management of arthritis of the elbow, wrist and hand. The anatomy, kinematics and demands of the elbow, wrist, thumb CMC, and finger MCP and PIP joints pose unique surgical challenges. Implant design considerations are important in providing a joint that mimics the native joints and maximizes survivorship. However, outcomes are less predictable in these upper extremity joints when compared to the hips and knees. Each joint also carries its own set of potential complications and salvage options for revision and failed arthroplasty.
This unique text helps the orthopedic and hand surgeon understand the surgical approaches, unique anatomic considerations, and both the historical and current designs related to each respective joint, enabling the surgeon to better appreciate the benefits and limitations of each arthroplasty. Presenting the current state of the art, the seven sections proceed anatomically from the elbow to the fingers, with each section comprised of three thematic chapters discussing implant design considerations, primary arthroscopy techniques and revision arthroscopy techniques, including non-surgical options for treating these often difficult problems. This consistent approach, accompanied by plentiful figures, radiographs and intraoperative photos, ensures that this will be a user-friendly resource for orthopedic and hand surgeons, residents and trainees.

Part I. Total Elbow Arthroplasty

Design Considerations for Total Elbow Arthroplasty
Design Considerations for Total Elbow Arthroplasty
Revision/Failed Total Elbow Arthroplasty
Part II. Radial Head Arthroplasty
Design Considerations for Radial Head Arthroplasty
Primary Radial Head Arthroplasty
Revision/Failed Radial Head Arthroplasty
Part III. Total Wrist Arthroplasty
Design Considerations for Total Wrist Arthroplasty
Primary Total Wrist Arthroplasty
Revision/Failed Total Wrist Arthroplasty
Part IV. Distal Radioulnar Joint Arthroplasty
Design Considerations for Distal Radioulnar Joint Arthroplasty
Primary Distal Radioulnar Joint Arthroplasty
Revision/Failed Distal Radioulnar Joint Arthroplasty
Part V.- Carpometacarpophalangeal Joint Arthroplasty
Design Considerations for Carpometacarpophalangeal Joint Arthroplasty
Primary Carpometacarpophalangeal Joint Arthroplasty
Revision/Failed Carpometacarpophalangeal Joint Arthroplasty
Part VI
Metacarpophalangeal Joint Arthroplasty
Design Considerations for Metacarpophalangeal Joint Arthroplasty
Primary Metacarpophalangeal Joint Arthroplasty
Revision/Failed Metacarpophalangeal Joint Arthroplasty
Part VII
Proximal Interphalangeal Joint Arthroplasty
Design Considerations for Proximal Interphalangeal Joint Arthroplasty
Primary Proximal Interphalangeal Joint Arthroplasty
Revision/Failed Proximal Interphalangeal Joint Arthroplasty.