title: Total wrist arthroplasty.
abstract: This article reviews the history of total wrist arthroplasty as a treatment option for painful, nonfunctional wrists in disease states. Technologic advances in materials, wear properties, and manufacturing now account for increased implant longevity. They may also improve total wrist replacement design, survival, and hence patient function. Also, alternative surgical treatments such as distal radius hemiarthroplasty may serve as a treatment option for patients with higher activity levels and diffuse arthritis. With careful patient selection, soft tissue considerations, and novel implant designs, TWA may become a viable treatment staple for patients with functional wrist disability.
authors.affiliation: The Philadelphia Hand Center, P.C., Thomas Jefferson University Hospital, 834 Chestnut Street, Philadelphia, PA 19107, USA. rowena.mcbeath@gmail.com
authors.forename: Rowena
authors.initials: R
authors.lastname: McBeath
authors.forename: A Lee
authors.initials: AL
authors.lastname: Osterman
mesh_terms: D001172:Arthritis, Rheumatoid / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001174:Arthrodesis; D019643:Arthroplasty, Replacement; D018450:Disease Progression; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000601:surgery; D010003:Osteoarthritis / Q000473:pathology / Q000601:surgery; D017060:Patient Satisfaction; D018579:Patient Selection; D011474:Prosthesis Design; D011859:Radiography; D016896:Treatment Outcome; D014955:Wrist Joint / Q000601:surgery*