{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T17:51:37Z","timestamp":1792345897122,"version":"4.4.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2014,6,23]],"date-time":"2014-06-23T00:00:00Z","timestamp":1403481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:p>We reviewed evidence on total wrist replacement from the last 5 years. Eight articles met a minimum set standard. The results of 405 prostheses were available, including seven different manufacturers. The mean follow up was 2.3\u20137.3 years with an average age of 52\u201363. Rheumatoid arthritis was the indication in 42% of patients. Motec demonstrated the best post-operative DASH scores. Only Maestro achieved a defined functional range of motion post-operatively. Universal 2 displayed the highest survival rates (100% at 3\u20135 years), while Elos had the lowest (57% at 5 years). Biaxial had the highest complication rates (68.7%), while Remotion had the lowest (11%). Wrist arthroplasty preserves some range of motion. Functional scores improved and were maintained over the mid- to long-term. Complication rates were higher than wrist fusion, with reports of radiological loosening and osteolysis. The evidence does not support the widespread use of arthroplasty over arthrodesis, and careful patient selection is essential.<\/jats:p>\n                  <jats:p>Level of Evidence: III<\/jats:p>","DOI":"10.1177\/1753193414539796","type":"journal-article","created":{"date-parts":[[2014,6,24]],"date-time":"2014-06-24T21:26:05Z","timestamp":1403645165000},"page":"458-468","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":76,"title":["Total wrist arthroplasty: a systematic review of the evidence from the last 5 years"],"prefix":"10.1177","volume":"40","author":[{"given":"D.","family":"Yeoh","sequence":"first","affiliation":[{"name":"Brighton and Sussex University Hospital, Brighton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Tourret","sequence":"additional","affiliation":[{"name":"Brighton and Sussex University Hospital, Brighton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,6,23]]},"reference":[{"key":"bibr1-1753193414539796","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2012.08.029"},{"key":"bibr2-1753193414539796","volume":"328","author":"Atkins D","year":"2004","journal-title":"BMJ"},{"key":"bibr3-1753193414539796","unstructured":"Australian Orthopaedic Registry \u2013 AOANJRR (Australian Orthopaedic Association National Joint Replacement Registry) Demographics & outcomes of elbow & wrist arthroplasty. 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London, UK, National Institute for Health and Care Excellence, 2008. http:\/\/www.nice.org.uk\/nicemedia\/live\/11237\/40491\/40491.pdf (July 2013)."},{"key":"bibr19-1753193414539796","unstructured":"Norwegian Arthroplasty Register Report. Helse Bergen, Haukeland, Norway, Nasjonalt Register for Leddprosteser, 2010. Nrlweb.ihelse.net (May 2014)."},{"key":"bibr20-1753193414539796","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.05.016"},{"key":"bibr21-1753193414539796","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2013.03.008"},{"key":"bibr22-1753193414539796","unstructured":"Oxford Centre for Evidence-Based Medicine (CEBM) Levels of Evidence Working Group. Levels of Evidence. 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