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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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Total Wrist Arthrodesis: Open Versus Arthroscopic.

Ahmed Alsayed¹, Hisham Awan²

¹Department of Plastic & Reconstructive Surgery, The Ohio State University, 915 Olentangy River Road, Suite 2100, Columbus, OH 43212, USA.

|March 21, 2026

Summary

Total wrist fusion (TWF) treats advanced wrist arthritis, offering pain relief at the cost of motion. Careful patient selection is crucial for this complex procedure, with both open and arthroscopic techniques available.

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Area of Science:

Orthopedic Surgery
Hand Surgery

Background:

Total wrist fusion (TWF) is a surgical option for debilitating wrist arthritis.
Indications include advanced rheumatoid arthritis and post-traumatic conditions like scapholunate advanced collapse and scaphoid nonunion advanced collapse.

Purpose of the Study:

To review the indications for total wrist fusion.
To discuss open and arthroscopic surgical approaches for TWF.

Main Methods:

Review of current literature on total wrist fusion techniques.
Discussion of patient selection criteria for TWF.

Main Results:

TWF provides significant pain relief for advanced wrist arthritis.
The procedure results in the loss of wrist motion.

Keywords:

Arthrodesis Total wrist fusion Wrist arthritis Wrist arthroplasty

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Both open and arthroscopic methods are described.

Conclusions:

Total wrist fusion is a viable treatment for specific cases of severe wrist arthritis.
Careful patient selection is paramount to achieving satisfactory outcomes.
Understanding the different surgical approaches is essential for optimal management.