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O rthopaedic surgeons do not perform total wrist arthroplasty (TWA) very frequently, and there are good reasons for this. Early on, an unacceptably high rate of complications resulted in both patients and surgeons being understandably apprehensive about it. In addition, intolerable end-stage wrist arthritis is itself uncommon. In fact, debilitating wrist arthritis may be rarer than ever before, now that biologic pharmacotherapy has dramatically reduced the disease burden associated with rheumatoid arthritis, and improved surgical fracture fixation has diminished the frequency and severity of post-traumatic wrist arthritis. The current study by Gil and colleagues showed a reasonable survivorship of 77.7% at 15 years, which is consistent with other comparable recent studies that show an improved survivorship of the latest generation of implants [1–3, 5–8]. Perhaps if this pattern of finding increased longevity and minimal complications continues to be reported, the data will serve as a counterclaim for the many steadfast skeptics. This, in turn, may result in patients and surgeons reconsidering this procedure.

CORR Insights®: High Survivorship and Few Complications With Cementless Total Wrist Arthroplasty at a Mean Followup of 9 Years