Research recommendation(s) from an individual piece of guidance Guidance: Total distal radioulnar joint replacement for symptomatic joint instability or arthritis Date issued: 08 November 2017 Research recommendations coming out of this guidance Further research on the safety and efficacy of total distal radioulnar joint replacement for symptomatic joint instability or arthritis should provide information on patient selection, and continue to collect long-term outcomes. NICE may update the guidance on publication of further evidence.