NICE did a rapid review of the published literature on the efficacy and safety of this procedure. This comprised a comprehensive literature search and detailed review of the evidence from 2 sources, which was discussed by the committee. The evidence included 2 case series. It is presented in table 2 of the overview. Other relevant literature is in the appendix of the overview.
The specialist advisers and the committee considered the key efficacy outcomes to be: relief of pain, restoration of wrist function, and patient-reported outcome measures, including quality of life.
The specialist advisers and the committee considered the key safety outcomes to be: pain, infection, loss of function and loosening of the prosthesis.
Patient commentary was sought but none was received.
The committee noted that the evidence it reviewed came from 2 small case series. It was informed that only 1 surgeon at 1 centre is doing the procedure in the UK.