AI Article Synopsis
- The systematic review examined the clinical outcomes of total wrist arthroplasty (TWA) in patients with both inflammatory and non-inflammatory arthritis, analyzing 12 studies with a total of 359 patients and 378 implants.
- TWA significantly improved patients' Disabilities of the Arm, Shoulder and Hand (DASH) scores and pain levels for both types of arthritis, but there were no major differences in outcomes between the two groups.
- While TWA showed better results in non-inflammatory arthritis according to Patient-Rated Wrist Evaluation (PRWE) scores, further high-quality research is necessary to validate these conclusions.
Article Abstract
This systematic review analysed the available evidence on the clinical outcomes of total wrist arthroplasty (TWA) in patients with inflammatory and non-inflammatory arthritis. After screening, 12 studies met the inclusion criteria. They involved 359 patients with 378 TWA implants. The results showed that TWA significantly improved Disabilities of the Arm, Shoulder and Hand (DASH)/Quick-DASH scores and pain visual analogue scale scores in both arthritis groups compared with preoperative values. However, there was no statistically significant difference in the outcome scores between the two groups. Three studies reported Patient-Rated Wrist Evaluation (PRWE) scores, and TWA significantly improved PRWE scores in non-inflammatory arthritis but not in inflammatory arthritis, with no significant difference in postoperative outcome scores between the two groups. Although the included studies have limitations, the review suggests that TWA may be a successful treatment for wrist pain in individuals with either inflammatory or non-inflammatory arthritis. However, further high-quality trials are needed to confirm these findings.
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| http://dx.doi.org/10.1177/17531934231199317 | DOI Listing |
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