Download PDF
J Wrist Surg 2022; 11(05): 456-464
DOI: 10.1055/s-0041-1735840
Survey or Meta-Analysis

Fourth-Generation Total Wrist Arthroplasty: A Systematic Review of Clinical Outcomes

Hero Jan Aeilko Zijlker
1   Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, Amsterdam, The Netherlands
,
Mathias Joseph Petrus Franciscus Ritt
1   Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, Amsterdam, The Netherlands
,
Annechien Beumer
2   Department of Orthopaedic Surgery, Upper Limb Unit, Amphia Hospital, Breda, The Netherlands
3   Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Amsterdam, The Netherlands
› Author Affiliations Funding None.
› Further Information
    Permissions and Reprints

Corrected by:

Erratum to “Fourth-Generation Total Wrist Arthroplasty: A Systematic Review of Clinical Outcomes”J Wrist Surg 2022; 11(05): e1-e1
DOI: 10.1055/s-0042-1755184

Abstract

Background The purpose of total wrist arthroplasty is to reduce pain and maintain mobility in a painful destructed wrist. First-, second-, and third-generation total wrist arthroplasties have shown unacceptable outcomes with high failure rates. In 2004, the fourth-generation total wrist implants were introduced to address the clinical problems encountered in the previous generations of total wrist implants.

Methods Outcomes and complications of fourth-generation total wrist implants were systematically reviewed in the literature (2004–present), including the Universal 2, ReMotion, Freedom, Motec, and Maestro total wrist implants.

Results The literature search yielded 114 papers, of which 18 (990 implants) were included in this systematic review. The quality of evidence was low. All implants effectively reduced pain and improved functionality of the wrist. The Motec wrist implant demonstrated the highest survival rate at 10 year follow-up (86%).

Conclusion This systematic review suggests a substantial improvement of quality in fourth-generation total wrist arthroplasty.

Keywords

total wrist arthroplasty - total wrist implant - Universal 2 - ReMotion - Maestro - Freedom - Motec


Publication History

Received: 22 March 2021

Accepted: 03 August 2021

Article published online:
05 October 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Ritt MJ, Stuart PR, Naggar L, Beckenbaugh RD. The early history of arthroplasty of the wrist. From amputation to total wrist implant. J Hand Surg [Br] 1994; 19 (06) 778-782
    CrossrefPubMedGoogle Scholar
  • 2 Boeckstyns ME. Wrist arthroplasty–a systematic review. Dan Med J 2014; 61 (05) A4834
    PubMedGoogle Scholar
  • 3 Adams BD. Total wrist arthroplasty. Tech Hand Up Extrem Surg 2004; 8 (03) 130-137
    CrossrefPubMedGoogle Scholar
  • 4 Liberati A, Altman DG, Tetzlaff J. et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 2009; 339: b2700
    CrossrefPubMedGoogle Scholar
  • 5 Puhan MA, Schünemann HJ, Murad MH. et al; GRADE Working Group. A GRADE Working Group approach for rating the quality of treatment effect estimates from network meta-analysis. BMJ 2014; 349: g5630
    CrossrefPubMedGoogle Scholar
  • 6 Gaspar MP, Lou J, Kane PM, Jacoby SM, Osterman AL, Culp RW. Complications following partial and total wrist arthroplasty: a single-center retrospective review. J Hand Surg Am 2016; 41 (01) 47.e4-53.e4
    CrossrefPubMedGoogle Scholar
  • 7 Nydick JA, Greenberg SM, Stone JD, Williams B, Polikandriotis JA, Hess AV. Clinical outcomes of total wrist arthroplasty. J Hand Surg Am 2012; 37 (08) 1580-1584
    CrossrefPubMedGoogle Scholar
  • 8 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
    CrossrefPubMedGoogle Scholar
  • 9 Giwa L, Siddiqui A, Packer G. Motec wrist arthroplasty: 4 years of promising results. J Hand Surg Asian Pac Vol 2018; 23 (03) 364-368
    CrossrefPubMedGoogle Scholar
  • 10 Reigstad O, Røkkum M. Wrist arthroplasty using prosthesis as an alternative to arthrodesis: design, outcomes and future. J Hand Surg Eur Vol 2018; 43 (07) 689-699
    CrossrefPubMedGoogle Scholar
  • 11 Bidwai AS, Cashin F, Richards A, Brown DJ. Short to medium results using the remotion total wrist replacement for rheumatoid arthritis. Hand Surg 2013; 18 (02) 175-178
    CrossrefPubMedGoogle Scholar
  • 12 Boeckstyns ME, Herzberg G, Merser S. Favorable results after total wrist arthroplasty: 65 wrists in 60 patients followed for 5–9 years. Acta Orthop 2013; 84 (04) 415-419
    CrossrefPubMedGoogle Scholar
  • 13 Cooney W, Manuel J, Froelich J, Rizzo M. Total wrist replacement: a retrospective comparative study. J Wrist Surg 2012; 1 (02) 165-172
    Article in Thieme ConnectPubMedGoogle Scholar
  • 14 Herzberg G. Prospective study of a new total wrist arthroplasty: short term results. Chir Main 2011; 30 (01) 20-25
    CrossrefPubMedGoogle Scholar
  • 15 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 (01) 17-22
    Article in Thieme ConnectPubMedGoogle Scholar
  • 16 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 (01) 24-29
    Article in Thieme ConnectPubMedGoogle Scholar
  • 17 Badge R, Kailash K, Dickson DR. et al. Medium-term outcomes of the Universal-2 total wrist arthroplasty in patients with rheumatoid arthritis. Bone Joint J 2016; 98-B (12) 1642-1647
    CrossrefPubMedGoogle Scholar
  • 18 Ferreres A, Lluch A, Del Valle M. Universal total wrist arthroplasty: midterm follow-up study. J Hand Surg Am 2011; 36 (06) 967-973
    CrossrefPubMedGoogle Scholar
  • 19 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
    CrossrefPubMedGoogle Scholar
  • 20 Kennedy JW, Ross A, Wright J, Martin DJ, Bransby-Zachary M, MacDonald DJ. Universal 2 total wrist arthroplasty: high satisfaction but high complication rates. J Hand Surg Eur Vol 2018; 43 (04) 375-379
    CrossrefPubMedGoogle Scholar
  • 21 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 (03) 365-368
    CrossrefPubMedGoogle Scholar
  • 22 Pfanner S, Munz G, Guidi G, Ceruso M. Universal 2 wrist arthroplasty in rheumatoid arthritis. J Wrist Surg 2017; 6 (03) 206-215
    Article in Thieme ConnectPubMedGoogle Scholar
  • 23 Zijlker HJA, Ritt MJPF, IJsselstein CB. Long-term results of universal 2 total wrist arthroplasty. J Wrist Surg 2019; 8 (04) 317-320
    Article in Thieme ConnectPubMedGoogle Scholar
  • 24 Reigstad O, Holm-Glad T, Bolstad B, Grimsgaard C, Thorkildsen R, Røkkum M. Five- to 10-year prospective follow-up of wrist arthroplasty in 56 nonrheumatoid patients. J Hand Surg Am 2017; 42 (10) 788-796
    CrossrefPubMedGoogle Scholar
  • 25 Reigstad O, Lütken T, Grimsgaard C, Bolstad B, Thorkildsen R, Røkkum M. Promising one- to six-year results with the Motec wrist arthroplasty in patients with post-traumatic osteoarthritis. J Bone Joint Surg Br 2012; 94 (11) 1540-1545
    CrossrefPubMedGoogle Scholar
  • 26 Bayliss LE, Culliford D, Monk AP. et al. The effect of patient age at intervention on risk of implant revision after total replacement of the hip or knee: a population-based cohort study. Lancet 2017; 389 (10077): 1424-1430
    CrossrefPubMedGoogle Scholar