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Total wrist arthroplasty: recent advances and current recommendations.
1Orthopaedic Department, Martina Hansens Hospital, Norway.
The Journal of Hand Surgery, European Volume
|January 3, 2025
Summary
Modern wrist arthroplasty offers good pain relief and function but faces challenges. Stagnant implant development and complex procedures require surgeon skill refinement for optimal patient outcomes.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Medical Device Development
Background:
- Current wrist arthroplasty implants show limited innovation, impacting adaptability and revision success.
- European medical device regulations have slowed the development and availability of specialized implants, including those for wrist arthroplasty.
Purpose of the Study:
- To review the complexities, challenges, and essential requirements for successful modern wrist arthroplasty.
- To highlight the need for surgeon skill enhancement and adaptation in the context of limited implant evolution.
Main Methods:
- Review of current literature and clinical experience with contemporary wrist arthroplasty procedures.
- Analysis of implant design limitations and regulatory impacts on surgical options.
Main Results:
- Despite acceptable short-term outcomes, wrist arthroplasty remains technically demanding with a need for patient and surgeon adaptation.
- Lack of recent implant development restricts versatility for patient-specific anatomy and revision surgeries.
Conclusions:
- Improving long-term wrist arthroplasty outcomes necessitates surgeon skill refinement, learning curve acceptance, and proactive complication management.
- Addressing the stagnation in implant innovation is crucial for enhancing surgical adaptability and revision efficacy in wrist arthroplasty.
