Current Concepts in Total Wrist Arthroplasty: A Review

Main Article Content

Hunter Parmer
Akul Munjal
Nur Nurbhai

Abstract

Introduction: Total wrist arthroplasty was envisioned to give patients with severe and debilitating pain the opportunity to regain independence. Prior to the first generation of implants, the standard of care for patients suffering from end-stage arthritis of the wrist was total wrist fusion which provided significant pain improvement at the expense of wrist movement.

Current Techniques: The first three generations of wrist implants showed promise of restored wrist function but were unfortunately plagued with poor long-term outcomes and significantly higher revisionist rates due to joint instability and peri/post-operative fractures. The current fourth generation of implants have shown the most promise in both preserving/restoring wrist motion and providing pain relief on par with the total wrist fusion.

Complications Associated with Total Wrist Arthroplasty: The current generation of implants still face complications of lower long-term survival rates and increased revisionist surgeries as compared to total wrist fusions.

Future Innovations in Surgical Wrist Interventions: Future innovations will focus on less bone resection and greater bone integration on a molecular level. Also, the relatively novel technique of wrist hemiarthroplasty shows promise as an acceptable alternative to total wrist arthroplasty.

Conclusions: Though the current generation of TWAs still have a lower survival rate and higher complication rate vs TWF, the functional gains associated with current models and the novel implants and techniques currently in development make TWA still a promising option.

Keywords:
Total wrist arthroplasty, surgical wrist interventions, surgical techniques, survival rates.

Article Details

How to Cite
Parmer, H., Munjal, A., & Nurbhai, N. (2020). Current Concepts in Total Wrist Arthroplasty: A Review. Asian Journal of Orthopaedic Research, 4(3), 1-7. Retrieved from https://journalajorr.com/index.php/AJORR/article/view/30141
Section
Review Article

References

Reigstad O. Wrist arthroplasty: Bone fixation, clinical development and mid to long term results. Acta Orthopaedica. 2014;85(354):1-53

Ogunro S, Ahmed I, Tan V. Current Indications and Outcomes of Total Wrist Arthroplasty. Orthop Clin N Am. 2013; 44(3):371-379

Hoeksma A, Horsten N, Ursum J, Roorda L, Schaardenburg DV, Dekker J. Prevalence of hand symptoms, impairments and activity limitations in rheumatoid arthritis in relation to disease duration. Journal of Rehabilitation Medicine. 2010;42(10):916-921. DOI: 10.2340/16501977-0619

Cavaliere CM, Chung KC. Total wrist arthroplasty and total wrist arthrodesis in rheumatoid arthritis: A decision analysis from the hand surgeons' perspective. J Hand Surg Am. 2008;33(10):1744–1755, e17552. DOI: 10.1016/j.jhsa.2008.06.022

Matsui Y, Minami A, Kondo M, et al. A Minimum 5-Year Longitudinal Study of a New Total Wrist Arthroplasty in Patients with Rheumatoid Arthritis. J Hand Surg Am. 2020;45(3):255.e1-255.e7. DOI: 10.1016/j.jhsa.2019.06.011

Laulan J, Marteau E, Bacle G. Wrist osteoarthritis. Orthop Traumatol Surg Res. 2015;101(1):S1-S9. DOI: org/10.1016/j.otsr.2014.06.025

Reigstad O, Holm-Glad T, Bolstad B, et al. Five- to 10- Year Prospective Follow-Up of Wrist Arthroplasty in 56 Nonrheumatoid Patients. J Hand Surg Am. 2017;42(10): 788-796. DOI: 10.1016/j.hsa.2017.06.097

Williams N. Dash. Occupational Medicine. 2014;64(1):67-68. DOI: 10.1093/occmed/kqt130

Brand RA, Mont MA, Manring MM. Biographical sketch: Themistocles Gluck (1853-1942). Clin Orthop Relat Res. 2011; 469(6):1525-1527. DOI: 10.1007/s11999-011-1836-8

Swanson AB, de Groot Swanson G, Maupin BK. Flexible implant arthroplasty of the radiocarpal joint. Surgical technique and long-term study. Clin Orthop Relat Res. 1984;187:94-106.

Nair R. Review article: Total wrist arthroplasty. Journal of Orthopaedic Surgery. 2014;22(3):399-405.

Cobb TK, Beckenbaugh RD. Biaxial total-wrist arthroplasty. J Hand Surg Am. 1996;21(6):1011-1021.

Cobb TK, Beckenbaugh RD. biaxial long-stemmed multipronged distal components for revision / bone deficit total-wrist arthroplasty. J Hand Surg Am. 1996;21(5): 764-770.

Harlingen Dv, Heesterbeek PJ, J de Vos M. High rate of complications and radiographic loosening of the biaxial total wrist arthroplasty in rheumatoid arthritis: 32 wrists followed for 6 (5–8) years. Acta Orthop. 2011;82(6):721‐726. DOI: 10.3109/17453674.2011.636669

Cooney W, Manuel J, Froelich J, Rizzo M. Total wrist replacement: A retrospective comparative study. J Wrist Surg. 2012; 1(2):165‐172. DOI: 10.1055/s-0032-1326728

Berber O, Garagnani L, Gidwani S. Systematic Review of Total Wrist Arthroplasty and Arthrodesis in Wrist Arthritis. J Wrist Surg. 2018;7(5):424‐ 440. DOI: 10.1055/s-0038-1646956

Yeoh D, Tourret L. Total wrist arthroplasty: a systematic review of the evidence from the last 5-years. J Hand Surg Eur Vol. 2014;40(5):458-468.

Gil JA, Kamal RN, Cone E, Weiss AC. High Survivorship and Few Complications With Cementless Total Wrist Arthroplasty at a Mean Followup of 9 Years. Clin Orthop Relat Res. 2017;475(12):3082‐ 3087. DOI: 10.1007/s11999-017-5445-z

Zijlker HJA, Berkhout MJ, Ritt MJPF, van Leeuwen N, IJsselstein CB. Universal 2 total wrist arthroplasty for the salvage of failed Biaxial total wrist arthroplasty. J Hand Surg Eur Vol. 2019;44(6):614‐619. DOI: 10.1177/1753193418822425

Pfanner S, Munz G, Guidi G, Ceruso M. Universal 2 wrist arthroplasty in rheumatoid arthritis. J Wrist Surg. 2017; 6(3):206‐215. DOI: 10.1055/s-0037-1598637

Sagerfors M, Gupta A, Brus O, Pettersson K. Total Wrist Arthroplasty: A single-center study of 219 cases with 5-year follow-up. J Hand Surg Am. 2015;40(12):2380-2387.

Herzberg G, Boeckstyns M, Sorensen AI, et al. "Remotion" total wrist arthroplasty: Preliminary results of a prospective international multicenter study of 215 cases. J Wrist Surg. 2012;1(1):17‐22. DOI: 10.1055/s-0032-1323642

Honecker S, Igeta Y, Al Hefzi A, Pizza C, Facca S, Liverneaux PA. Survival Rate on a 10-Year Follow-Up of Total Wrist Replacement Implants: A 23-Patient Case Series. J Wrist Surg. 2019;8(1):24‐29. DOI: 10.1055/s-0038-1668152

Nydick JA, Greenberg SM, Stone, JD, Williams B, et al. Clinical Outcomes of Total Wrist Arthroplasty. J Hand Surg Am. 2012;37(8):1580-1584.

Reigstad O, Holm-Glad T, Bolstad B, Grimsgaard C, et al. Five- to 10-year prospective follow-up of wrist arthroplasty in 56 nonrheumatoid patients. J Hand Surg Am. 2017;42(10):788-796.

Schmidt I. 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. Open Orthop J. 2017;11:439‐446.

Published 2017 May 30. DOI: 10.2174/1874325001711010439

Cavaliere, Christi, Chung, Kevin. A Systematic Review of Total Wrist Arthroplasty Compared with Total Wrist Arthrodesis for Rheumatoid Arthritis. Plast Reconstr Surg. 2008;122(3):813-825. DOI: 10.1097/PRS.0b013e318180ece3.

Kamal R, Weiss AP. Total Wrist Arthroplasty for the Patient with Non-rheumatoid Arthritis. J Hand Surg Am. 2011;36(6):1071-1072.

Gaspar MP, Lou J, Kane PM, Jacoby S. Complications following partial and total wrist arthroplasty: A single-center retrospective review. J Hand Surg Am. 2016;41(1):47-53.

Nair R. Survivorship in total wrist arthroplasty a literature review. Curr Orthop Pract. 2016;27(1):93-97.

Weiss KE, Rodner CM. Osteoarthritis of the Wrist. J Hand Surg Am. 2007;32(5): 725-746.

Morapudi SP, Marlow WJ, Withers D, Ralte P, Gabr A, Waseem M. Total wrist arthroplasty using the Universal 2 prosthesis. J Orthop Surg (Hong Kong). 2012;20(3):365-368. DOI: 10.1177/230949901202000321

Brinkhorst ME, Selles RW, Dias JJ, Singh HP, et al. Results of the Universal 2 Prosthesis in Noninflammatory Osteoarthritic Wrists. J Wrist Surg. 2018; 7(2):121-126.

Wagner ER, Srnec JJ, Mehrotra K, Rizzo M. What are the Risk factors and complications associated with intraoperative and postoperative fractures in total wrist arthroplasty? Clin Orthop Relat Res. 2017;475:2694-2700.

Ma JX, Xu YQ. The instability of wrist joint and total wrist replacement. Chin J Traumatol. 2016;19(1):49‐51. DOI: 10.1016/j.cjtee.2015.12.003

Hinds RM, Capo JT, Rizzo M, Roberson JR, Gottschalk MB. Total Wrist Arthroplasty Versus Wrist Fusion: Utilization and Complication Rates as Reported by ABOS Part II Candidates.

Cavaliere CM, Chung KC. A cost-utility analysis of nonsurgical management, total wrist arthroplasty, and total wrist arthrodesis in rheumatoid arthritis. J Hand Surg Am. 2010;35(3):379-391.e2. DOI: 10.1016/j.jhsa.2009.12.013

Hooke AW, Pettersson K, Sagerfors M, An KN, Rizzo M. An anatomic and kinematic analysis of a new total wrist arthroplasty design. J Wrist Surg. 2015;4(2):121-127. DOI: 10.1055/s-0035-1549288

Culp RW, Bachoura A, Gelman SE, Jacoby SM. Proximal row carpectomy combined with wrist hemiarthroplasty. J Wrist Surg. 2012;1(1):39‐46. DOI: 10.1055/s-0032-1323643

Herzberg G, Burnier M, Marc A, Izem Y. Primary Wrist Hemiarthroplasty for Irreparable Distal Radius Fracture in the Independent Elderly. J Wrist Surg. 2015; 4(3):156-163. DOI: 10.1055/s-0035-1558841

Vance MC, Packer G, Tan D, Crisco JJ, Wolfe SW. Midcarpal hemiarthroplasty for wrist arthritis: rationale and early results. J Wrist Surg. 2012;1(1):61-68. DOI: 10.1055/s-0032-1323644

Anneberg M, Packer G, Crisco JJ, Wolfe S. Four-Year Outcomes of Midcarpal Hemiarthroplasty for Wrist Arthritis. J Hand Surg Am. 2017;42(11): 894-903.

Huish EG Jr, Lum Z, Bamberger HB, Trzeciak MA. Failure of Wrist Hemiarthroplasty. Hand. 2017;12(4):369-375. DOI: 10.1177/1558944716668836.

Jauregui JJ, Cherian JJ, Pierce TP, Beaver WB, et al. Long-Term Survivorship and Clinical Outcomes Following Total Knee Arthroplasty. J Arthroplasty. 2015;30(12):2164- 2166.

Bae DK, Song SJ, Park MJ, Eoh JH, et al. Twenty-Year Survival Analysis in Total Knee Arthroplasty by a Single Surgeon. J Arthroplasty. 2012;27(7):1297-1304.

Cavaliere CM, Chung KC. Total wrist arthroplasty and total wrist arthrodesis in rheumatoid arthritis: a decision analysis from the hand surgeons' perspective. J Hand Surg Am. 2008;33(10):1744-1755, e17552. DOI: 10.1016/j.jhsa.2008.06.022