Rheumatoid arthritis is the most common form of inflammatory arthritis with a predilection
for the hand and wrist. The aggressive nature of the disease can lead to severe joint destruction
causing significant disability. Surgical options for pan-carpal arthritis include total wrist arthroplasty
and total wrist fusion both with varying outcomes, yet both have a role in the carefully selected patients.
Fusion remains a popular procedure with consistent reliable results with few complications.
We present a review of current evidence, indications and guidance for both fusion and arthroplasty in
Keywords: Extension, flexion, inflammatory arthritis, outcome, rheumatoid arthritis, total wrist arthroplasty, total wrist fusion.
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