Capitolunate Arthrodesis: A Systematic Review
Related Experiment Video
Updated: Jan 2, 2026
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
John C Dunn1, Michael M Polmear1, John P Scanaliato1
1Department of Orthopaedic Surgery, William Beaumont Army Medical Center, El Paso, TX.
Purpose:
To compile and review the indications, outcomes, and complications of capitolunate arthrodesis (CLA).
Methods:
We performed a literature search identifying 33 articles, 6 of which met inclusion criteria, including 80 patients. Included publications contained the results of CLA with minimum 12-month follow-up between 2000 and 2018. Data were pooled and analyzed focusing on the primary outcomes of union and complications.
Results:
Average age of patients was 48 years (range, 22-86 years), median follow-up was 34 months (range, 12-198 months), and most common indication was scaphoid nonunion advanced collapse (59%). Nearly half underwent a concomitant triquetrum excision (49%). Most patients were pain-free (78%) and returned to work (92%). Grip strength and visual analog pain scale both improved after CLA. Whereas 96% fused within a reported 42 to 210 days (median, 70 days), 11% of patients had complications including nonunion (3.8%) and loose hardware (6.3%). The reoperation rate was 14%, including wrist arthrodeses and wrist arthroplasty.
Conclusions:
Capitolunate arthrodesis is a feasible option for scapholunate advanced collapse and scaphoid nonunion advanced collapse wrists with complications similar to those encountered in 4-corner arthrodesis.
Type Of Study/Level Of Evidence:
Therapeutic IV.
