{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T17:51:36Z","timestamp":1792345896128,"version":"4.4.0"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and Purpose\u2003There is limited literature reporting the long-term results and outcomes of total wrist arthroplasty (TWA). The aim of this study was to describe the incidence, usage, and survival of wrist arthroplasty using data from the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR).<\/jats:p><jats:p>\n          Methods\u2003Data included all primary TWA procedures from 2006 to 2021. The primary outcome assessed was revision surgery. Utilization of TWA, etiology leading to TWA, patient demographics, and surgical factors were also assessed.<\/jats:p><jats:p>\n          Results\u2003There were 439 primary TWA procedures performed across the 16-year reporting period. Four prostheses (Motec, Universal 2, Freedom, and ReMotion) have been used, with a recent increased usage toward the Motec, which accounted for 97.4% of prostheses implanted in 2021. There has also been an increase in the number of surgeons performing TWA over time. The most common underlying etiology was osteoarthritis (72.7%), followed by rheumatoid arthritis (15.9%). Implantation for inflammatory arthropathy remained relatively constant across time; however, TWA has been utilized with increasing frequency for the treatment of osteoarthritis and other indications more recently. The cumulative percent revision at 10 years was 18.3%. Loosening accounted for 25.6% of all revisions, followed by osteolysis (12.8%), pain (12.8%), and instability (7.7%). Attempted conversion to an arthrodesis occurred in 10.3% of all revisions.<\/jats:p><jats:p>\n          Conclusion\u2003There has been an increase in both the volume of TWA performed and the number of surgeons undertaking this procedure in Australia over the past 16 years. The Motec system has become the prosthesis of choice. Medium-term revision rates are inferior when compared with Australian data for hip, knee, and shoulder arthroplasty.<\/jats:p>","DOI":"10.1055\/s-0043-1777408","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T23:55:33Z","timestamp":1706745333000},"page":"339-345","source":"Crossref","is-referenced-by-count":2,"title":["Increasing Use of Total Wrist Arthroplasty\u2014An Australian National Joint Registry Report"],"prefix":"10.1055","volume":"13","author":[{"given":"Fraser","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Musculoskeletal Services, Gold Coast University Hospital, Southport, Queensland, Australia"},{"name":"Griffith University School of Medicine and Dentistry, Southport, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley David","family":"Gilpin","sequence":"additional","affiliation":[{"name":"Department of Musculoskeletal Services, Gold Coast University Hospital, Southport, Queensland, Australia"},{"name":"Orthopaedic Department, Princess Alexandra Hospital, Woolloongabba, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brahman Shankar","family":"Sivakumar","sequence":"additional","affiliation":[{"name":"Discipline of Surgery, Sydney Medical School, the Faculty of Medicine and Health, the University of Sydney, Sydney, Australia"},{"name":"Australian Research Collaboration on Hands (ARCH), Mudgeeraba, Queensland, Australia"},{"name":"Department of Hand and Peripheral Nerve Surgery, Royal North Shore Hospital, St Leonards, New South Wales, Australia"},{"name":"Department of Orthopaedic Surgery, Hornsby Ku-ring-gai Hospital, Hornsby, New South Wales, Australia"},{"name":"Department of Orthopaedic Surgery, Nepean Hospital, Kingswood, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl","family":"Holder","sequence":"additional","affiliation":[{"name":"Australian Orthopaedic Association, National Joint Replacement Registry, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2225-7144","authenticated-orcid":false,"given":"Richard","family":"Page","sequence":"additional","affiliation":[{"name":"Australian Orthopaedic Association, National Joint Replacement Registry, Adelaide, South Australia, Australia"},{"name":"Barwon Centre of Orthopaedic Research and Education (B-CORE), School of Medicine, Deakin University, Geelong, Victoria, Australia"},{"name":"St John of God and Barwon Health Professorial Chair of Orthopaedic Surgery \u2013 SJOG Hospital and Deakin University, Victoria, Geelong, Australia"},{"name":"Department of Orthopaedic Surgery, University Hospital Geelong, Barwon Health, Geelong, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David James","family":"Graham","sequence":"additional","affiliation":[{"name":"Department of Musculoskeletal Services, Gold Coast University Hospital, Southport, Queensland, Australia"},{"name":"Griffith University School of Medicine and Dentistry, Southport, Queensland, Australia"},{"name":"Australian Research Collaboration on Hands (ARCH), Mudgeeraba, Queensland, Australia"},{"name":"Department of Orthopaedic Surgery, Queensland Children's Hospital, South Brisbane, Queensland, Australia"},{"name":"School of Medicine, University of Queensland, Herston, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,1,31]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1016\/0266-7681(94)90257-7","article-title":"The early history of arthroplasty of the wrist. 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