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there is some encouragement in the field of total wrist replacement surgery and well talk about that for a bit so well talk about the history of total wrist replacement which is a dark history some advances that have occurred what the indications are who a good patient may be for a total wrist replacement and how these patients do and last little end of the case so the the first total wrist replacement was done by a doctor by the name of Glock here you can see over a hundred years ago he used an ivory ball and socket prosthesis for tuberculosis that destroyed a wrist and as you can imagine this this didnt do so great in 1967 Swanson who is a pioneer in silicone joint replacements of the upper extremity developed a radiocarpal silicone joint spacer which was a way an alternative to just taking out the joint you had some stability and some motion at the joint and Swanson spent his career really investigating these silicone joint replacements for the wrist the thumb in the hand in 1984