Long-term wrist procedures: Refining evidence for durability and patient-centred outcomes

Castro-Guerrero et al. review long-term outcomes after wrist procedures in adults, reporting moderate durability of contemporary wrist prostheses and heterogeneous reporting of patient-reported outcome measures. This letter places their findings within existing total wrist arthroplasty and rheumatoid arthritis literature, which similarly show a trade-off between motion preservation and higher complication rates. We then outline key limitations of the review, including clinical heterogeneity, limited subgroup analyses and inconsistent treatment of non-prosthetic interventions. Finally, we propose priorities for future research, emphasising diagnosis-stratified long-term cohorts, evaluation of personalised three-dimensional printed implants and pragmatic multi-centre trials using harmonised outcome metrics.