Abstract
Total wrist arthrodesis is a reliable procedure for pain relief in arthritic wrists. While it eliminates all motion of the wrist, excellent hand function can be maintained and the stability of the construct allows the patient to return to heavy work including manual labor. Numerous fixation methods have been described and all have satisfactory clinical outcomes. Optimal wrist fusion position, fixation method, concomitant proximal row carpectomy, and inclusion of the third carpometacarpal joint remain controversial.
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