Amandys® pyrocarbon interposition wrist arthroplasty: a systematic review of clinical outcomes and complications

Amandys® pyrocarbon interposition arthroplasty provides clinical improvement and preserves wrist motion but is associated with a relevant and less predictable rate of complications and reoperations. When feasible, proximal row carpectomy remains the preferred motion-preserving procedure. Amandys® arthroplasty should be regarded as a highly selective salvage option, particularly in patients unsuitable for proximal row carpectomy-based solutions, with careful patient selection being essential to optimize outcomes.