Total Wrist Arthroplasty: A Single-Center Study of 219 Cases With 5-Year Follow-up

Does Total Wrist Arthroplasty for Treatment of Posttraumatic Wrist Joint Osteoarthritis in Young Patients Always Lead to Restriction of High-demand Activities of Daily Living? Case Report and Brief Review of Recent Literature

“…The relatively new angle-stable Maestro TM WRS that was used in our case is one of the modern biaxial-anatomical third generation type that is currently in use [22-24]. In a single-center study, published in 2015, the cumulative implant survival after eight years (N=68) is reported to be 95%, and at the 5-year follow-up radiographic loosening was present in 2% of all cases only [25]. Currently, the Maestro™ implant achieves the most favorable functional outcome as compared to other third-generation types, and it may be justified in preserving resection-related carpal height due to its three various carpal heads in combination with its design of ellipsoid surface articulation [26-28].…”

“…Hence, patients undergoing treatment with TWA must be prepared that it might end with TWF; therefore limited bone resection is a common feature of all contemporary wrist replacements [31, 32]. The Maestro™ WRS has demonstrated uncomplicated conversion to TWF [25, 26, 33, 34]. A recent study revealed that the outcome of TWF after a failed TWA is comparable to those after primary TWF [35].…”

An Unusual and Complicated Course of a Giant Cell Tumor of the Capitate Bone

“…The Maestro total wrist, developed by Strickland/Palmer/Graham in 2002 and available since January 2005, is a biaxial-anatomical third-generation type that is current in use, and first encouraging short-term results were published in 2009 [41]. In a single-center study, published in 2015, the cumulative implant survival after eight years ( N = 68) is reported to be 95%, and at the 5-year follow-up radiographic loosening was present only in 2% of all cases [42]. Currently, the Maestro total wrist achieves the most favorable functional outcome as compared to other third-generation types (Remotion, Universal 2), and it may be justified in preserving resection-related carpal height due to its three various carpal heads in combination with its design of ellipsoid surface articulation [43].…”

The MaestroTM Wrist Reconstructive System for treatment of posttraumatic wrist joint osteoarthritis after a devasting course of a distal radius fracture: Case presentation and technical note to the implant

“…[18,19]. In a single-center study, published in 2015, the cumulative implant survival after eight years (N=68) is reported to be 95%, and at the 5-year follow-up radiographic loosening was present in 2% of all cases only [20]. Currently, the Maestro TM total wrist achieves the most favorable functional outcome as compared to other third-generation types, and it may be justified in preserving resection-related carpal height due to its three various carpal heads in combination with its design of ellipsoid surface articulation [21].…”

“…However, patients undergoing treatment with TWA must be prepared that it might end with TWF; therefore limited bone resection is a common feature of all contemporary wrist replacements [24]. The Maestro TM implants have demonstrated uncomplicated conversion to TWF [17,20,21,25]. A recent study revealed that the outcome of TWF after a failed TWA is comparable with those after primary TWF [26].…”