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.
摘要：
这项系统评价分析了炎性和非炎性关节炎患者全腕关节置换术（TWA）临床结局的现有证据。筛选后,12项研究符合纳入标准。他们涉及359名患者和378个TWA植入物。结果表明，TWA显着改善了手臂的残疾，两个关节炎组的肩手（DASH）/Quick-DASH评分和疼痛视觉模拟评分与术前值比较。然而,两组间的结局评分无统计学差异.三项研究报告了患者额定腕部评估（PRWE）得分，TWA显著改善了非炎性关节炎的PRWE评分，但没有改善炎性关节炎的PRWE评分，两组术后预后评分无显著差异。虽然纳入的研究有局限性，该综述提示TWA可能是治疗炎性或非炎性关节炎患者腕关节疼痛的一种成功方法.然而,需要进一步的高质量试验来证实这些发现.
