Learning Outcomes of Fourth-Generation Total Wrist Arthroplasty Using the Motec Implant: Does Dual-Consultant Operating Improve Outcomes?

Nineteen patients were evaluated, including 14 operated by dual consultants and 5 by a single consultant. In the dual-consultant group, 7 patients (50%) had no complications, 4 (28.6%) had Grade I, and 3 (21.4%) had Grade II complications. In the single-consultant group, 2 patients (40%) had no complications, 2 (40%) had Grade I, and 1 (20%) had a Grade IV complication. Conclusion: Dual-consultant operating did not confer a statistically significant reduction in complications; however, an absence of severe complications in dual cases suggests potential benefits in safety and mentorship. Given the small sample size and high baseline expertise of surgeons, larger, prospective, multicenter studies are warranted to define the role of dual-consultant surgery in TWA.