Abstract：
Total wrist arthroplasty (TWA) is gaining interest as a management option for wrist arthritis. This review article summarizes the current evidence base for TWA, focusing on the performance and survivorship of fourth-generation implants. These appear to offer satisfactory patient-reported outcomes and survivorship over the medium term, but heterogeneity between implants and patient populations complicates data interpretation. We discuss issues facing TWA practice, including surgical competency, volume, implant development and stewardship. We acknowledge the need for further research on this topic and highlight a number of questions that need answering.
摘要：
全腕关节置换术（TWA）作为腕关节关节炎的治疗选择正在引起人们的兴趣。这篇综述文章总结了当前TWA的证据基础，专注于第四代植入物的性能和存活率。这些似乎提供了令人满意的患者报告的结果和中期生存率，但是植入物和患者人群之间的异质性使数据解释复杂化。我们讨论TWA实践面临的问题，包括外科手术能力，volume,植入物的开发和管理。我们承认需要对这一主题进行进一步研究，并强调了一些需要回答的问题。
