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Related Experiment Video

Updated: Jun 1, 2026

In Vitro Application of a Wireless Sensor in Flexion-Extension Gap Balance of Unicompartmental Knee Arthroplasty
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Universal total wrist arthroplasty: midterm follow-up study.

Angel Ferreres1, Alberto Lluch, Montserrat Del Valle

  • 1Department of Surgery of the Hand and Upper Extremity, Institut Kaplan, Barcelona, Spain. angelferreres@institut-kaplan.com

The Journal of Hand Surgery
|June 4, 2011
PubMed
Summary

Total wrist arthroplasty offers a viable alternative to fusion for patients seeking wrist mobility. Midterm results show high patient satisfaction despite some complications, suggesting it preserves function effectively.

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Area of Science:

  • Orthopedic Surgery
  • Rheumatology
  • Hand Surgery

Background:

  • Total wrist arthroplasty (TWA) is a surgical procedure for severe wrist joint damage.
  • Indications include inflammatory arthritis and degenerative conditions.
  • Assessing midterm outcomes is crucial for surgical decision-making.

Purpose of the Study:

  • To report midterm outcomes of primary total wrist arthroplasty.
  • To compare findings with existing literature.
  • To evaluate patient satisfaction and complication rates.

Main Methods:

  • Retrospective review of 21 patients undergoing primary TWA.
  • Clinical and radiological evaluation.
  • Patient-Related Wrist Evaluation (PRWE) used as a primary outcome measure.

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  • Mean follow-up of 5.5 years.

    • Main Results:

    • Average PRWE score was 24/100, indicating significant pain and dysfunction.
    • 20 out of 21 patients reported satisfaction or high satisfaction.
    • Complications included wound issues (2), osteolysis (2), and component loosening (1).
    • No dislocations or revisions were reported.

    Conclusions:

    • Total wrist arthroplasty is a favorable option for patients desiring wrist mobility preservation.
    • It serves as a viable alternative to wrist arthrodesis (fusion).
    • Careful patient selection is important due to potential complications.