NICE has been notified about this procedure and it is part of its work programme. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
Status In progress
Process IP
ID number 1135
Description The procedure is done using general or regional anaesthesia with a tourniquet applied to the upper arm. A radiographic template is created preoperatively to determine the implant size. An incision is made over the wrist, in line with the third metacarpal. The joint is exposed, and the first row of carpal bones and the radial articular cartilage are removed. A trial implant is put into position, the carpus is reduced onto the bearing surface and the implant size, range of motion and stability are assessed. The final implant is then put in place and fully seated on the contoured subchondral plate. Strengthening exercises are started 4 to 6 weeks after surgery and full activity can start several weeks after that. The aim is to relieve pain while preserving the midcarpal articulation and the anatomic centre of wrist rotation.

Provisional Schedule

Expected publication 16 October 2019


Key events during the development of the guidance:

Date Update
19 June 2019 - 17 July 2019 Interventional procedure consultation

For further information on how we develop guidance, please see our page about NICE interventional procedures guidance