{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T11:08:46Z","timestamp":1779880126412,"version":"3.53.1"},"reference-count":29,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"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":[[2026,5]]},"abstract":"<jats:p>Given the well-publicised issues around metal-on-metal (MOM) hip replacements there has been a great deal of scrutiny around the same bearing when used in total wrist arthroplasty (TWA). There are several case series and reports in the literature of metallosis following MOM TWA which have implicated the MOM bearing as the cause of the issue with some authors advocating that the MOM bearing should be avoided. As the MOM version of one of the current TWA is widely used, this potentially represents a problem. This article discusses the issues of MOM articulations as they relate to both hip and wrist replacements and critically analyses the literature to see if there is indeed any evidence of issues with MOM bearings in modern TWA. While metallosis has been reported in TWA, frequently this has been due to failure of the polyethylene bearing or unintended impingement between arthroplasty components. In such cases, titanium debris has been released and, while not benign, such debris lacks the known toxicity associated with the cobalt and chromium of MoM hips. These findings, together with those from explant analysis of MOM articulations, suggest that metallosis seen with the MOM TWA is extra-articular in origin and there is no evidence to suggest an issue with the bearing itself.<\/jats:p>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:bold>Level of Evidence:<\/jats:bold>\n                    <\/jats:title>\n                    <jats:p>\n                      <jats:bold>V<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17531934261420064","type":"journal-article","created":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T04:36:46Z","timestamp":1770957406000},"page":"647-652","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Is there evidence of metal-on-metal bearing failure in modern total wrist arthroplasty?"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0398-7053","authenticated-orcid":false,"given":"Daniel J","family":"Brown","sequence":"first","affiliation":[{"name":"Liverpool University Hospitals NHS FT, UK"},{"name":"Faculty of Health and Life Science, University of Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8497-5790","authenticated-orcid":false,"given":"Thomas J","family":"Joyce","sequence":"additional","affiliation":[{"name":"Department of Mechanical and Construction Engineering, Northumbria University, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,12]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.artd.2022.07.019"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/15563650.2014.944977"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2020.12.036"},{"key":"e_1_3_2_5_1","article-title":"Metal-on-metal resurfacing of the hip in patients under the age of 55 years with osteoarthritis","volume":"86","author":"Daniel J","year":"2004","unstructured":"Daniel J, Pynsent PB, McMinn DJ. Metal-on-metal resurfacing of the hip in patients under the age of 55 years with osteoarthritis. J Bone Joint Surg Br. 2004, 86: 177\u201384.","journal-title":"J Bone Joint Surg Br"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.104B10.BJJ-2022-0201.R2"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1243\/13506501JET484"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0044-1791531"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/17531934241249919"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/17531934231194287"},{"key":"e_1_3_2_11_1","article-title":"Investigation of the in vivo performance of metal-on-metal Motec total wrist arthroplasty \u2013 an explant analysis","volume":"14","author":"Kandemir G","year":"2025","unstructured":"Kandemir G, Julian HS, Joyce TJ, Brown DJ. Investigation of the in vivo performance of metal-on-metal Motec total wrist arthroplasty \u2013 an explant analysis. J Wrist Surg. 2025, 14: 314\u201321.","journal-title":"J Wrist Surg"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.03.010"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B1.22770"},{"key":"e_1_3_2_14_1","article-title":"Accelerating failure rate of the asr total hip replacement","volume":"93","author":"Langton DJ","year":"2011","unstructured":"Langton DJ, Jameson SS, Joyce TJ, et al. Accelerating failure rate of the asr total hip replacement. J Bone Joint Surg Br. 2011, 93: 1011\u20136.","journal-title":"J Bone Joint Surg Br"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-007847"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/jfb6041021"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/17531934221113723"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-34177-w"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/17531934231160380"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejro.2014.11.001"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(03)00307-1"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2017.06.097"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193418784707"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1142\/S242483552250093X"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/15589447211003178"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-025-04242-3"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtemb.2019.09.005"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.012921"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200501000-00006"},{"key":"e_1_3_2_30_1","article-title":"Nano-analyses of wear particles from metal-on-metal and non-metal-on-metal dual modular neck hip arthroplasty","volume":"13","author":"Xia Z","year":"2017","unstructured":"Xia Z, Ricciardi BF, Liu Z, et al. 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