Total wrist arthroplasty: A review

Chakrabarti, I.

doi:10.1007/s12593-009-0019-2

Cited by 8 publications

(5 citation statements)

References 20 publications

(13 reference statements)

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“…The second implant generation, introduced in the 1970s, was hard-bearing multicomponent prostheses. There is no consensus about the definition of second-generation implants [ 3 , 5 , 13 ]. Generally, these implants consist of a radial component and a carpal component that is fixed into one or more metacarpal bones after bone resection [ 3 , 5 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Total Wrist Arthroplasty—A Systematic Review of the Outcome, and an Introduction of FreeMove—An Approach to Improve TWA

Eschweiler

Quack

et al. 2022

Life

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The Swanson silicone prosthesis was one of the first devices to realize total wrist arthroplasty (TWA). It has been used regularly since the early 1960s. This systematic review of the literature evaluated the status quos of TWA. The present study was conducted according to the PRISMA guidelines. A literature search was made in Medline, PubMed, Google Scholar, and the Cochrane Library databases. The focus of the present study was on implant survivorship and related functional outcomes. Data from 2286 TWA (53 studies) were collected. Fifteen studies were included for the analysis of implant survivorship. Fifteen studies were included for the analysis of pain. Twenty-eight studies were included for the analysis of the Disabilities of the Arm, Shoulder, and Hand (DASH) score. Grip strength was tracked in 16 studies. The range of motion (RoM) was evaluated in 46 studies. For supination and pronation, 18 articles were available. Despite some methodological heterogeneities, TWA may be effective and safe in pain reduction and improving function and motion. There is still a range for a future improvement of the procedure.

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Section: Introductionmentioning

confidence: 99%

“…Despite the popularity of TWA, the mid-term to long-term implant durability remains unclear [ 7 ]. A recent meta-analysis of 500 wrist replacements (18 studies) compared with 800 wrist fusions (20 studies) of Cavaliere and Chung [ 2 ] suggested that fusion provided equally good results and was, therefore, more cost-effective [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Total Wrist Arthroplasty—A Systematic Review of the Outcome, and an Introduction of FreeMove—An Approach to Improve TWA

Eschweiler

Quack

et al. 2022

Life

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“…1 The complexity of wrist joint anatomy, biomechanics and complications after surgery, which all dampening the initial enthusiasm on searching a perfect design of the prosthesis, made surgeons cave to the reigning of the fusion, after all the wrist arthrodesis has proven to be the most successful. 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 The instability of the wrist after the total wrist replacement is the No. 1 killer of every prosthesis.…”

Section: Introductionmentioning

confidence: 99%

“…11 Rheumatoid arthritis (RA) is the top one on the list which severely damage the wrist joint, and today also is the primary indication for the TWR. 1 , 10 , 12 But for the radiocarpal arthritis, the fusion remains the first choice of the majority of hand surgeons. 2 While considering the RA patients usually with multiple joints involved, fusion may lead to a greater impairment and disability.…”

Section: Introductionmentioning

confidence: 99%

The instability of wrist joint and total wrist replacement

2016

Chinese Journal of Traumatology

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Total wrist arthroplasty are not used as widely as total knee and hip replacement. The functional hands are requiring surgeons to design a durable and functional satisfying prosthesis. This article will list the main reasons that cause the failure of the prosthesis. Some remarkable and representative prostheses are listed to show the devolvement of total wrist prosthesis and their individual special innovations to fix the problems. And the second part we will discuss the part that biomechanical elements act in the total wrist replacement (TWA). Summarize and find out what the real problem is and how we can find a way to fix it.

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“…2 As a result, wrist arthroplasty was reserved for older, low demand patients. 3,4 More recent generations of implants have concentrated on uncemented designs with minimal constraint, with provision of alternate articulating surfaces aimed at diminishing wear and allowing greater motion. [5][6][7] This philosophy (and options to facilitate conversion to arthrodesis as a salvage procedure in certain designs) has resulted in an expansion of patient eligibility criteria.…”

mentioning

confidence: 99%

Increasing Use of Total Wrist Arthroplasty—An Australian National Joint Registry Report

Taylor,

Gilpin,

Sivakumar

et al. 2024

J Wrist Surg

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Background and Purpose There is limited literature reporting the long-term results and outcomes of total wrist arthroplasty (TWA). The aim of this study was to describe the incidence, usage, and survival of wrist arthroplasty using data from the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR). Methods Data included all primary TWA procedures from 2006 to 2021. The primary outcome assessed was revision surgery. Utilization of TWA, etiology leading to TWA, patient demographics, and surgical factors were also assessed. Results There were 439 primary TWA procedures performed across the 16-year reporting period. Four prostheses (Motec, Universal 2, Freedom, and ReMotion) have been used, with a recent increased usage toward the Motec, which accounted for 97.4% of prostheses implanted in 2021. There has also been an increase in the number of surgeons performing TWA over time. The most common underlying etiology was osteoarthritis (72.7%), followed by rheumatoid arthritis (15.9%). Implantation for inflammatory arthropathy remained relatively constant across time; however, TWA has been utilized with increasing frequency for the treatment of osteoarthritis and other indications more recently. The cumulative percent revision at 10 years was 18.3%. Loosening accounted for 25.6% of all revisions, followed by osteolysis (12.8%), pain (12.8%), and instability (7.7%). Attempted conversion to an arthrodesis occurred in 10.3% of all revisions. Conclusion There has been an increase in both the volume of TWA performed and the number of surgeons undertaking this procedure in Australia over the past 16 years. The Motec system has become the prosthesis of choice. Medium-term revision rates are inferior when compared with Australian data for hip, knee, and shoulder arthroplasty.

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Total wrist arthroplasty: A review

Cited by 8 publications

References 20 publications

Total Wrist Arthroplasty—A Systematic Review of the Outcome, and an Introduction of FreeMove—An Approach to Improve TWA

Total Wrist Arthroplasty—A Systematic Review of the Outcome, and an Introduction of FreeMove—An Approach to Improve TWA

The instability of wrist joint and total wrist replacement

Increasing Use of Total Wrist Arthroplasty—An Australian National Joint Registry Report

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