Review ArticleTotal Wrist Arthrodesis: Indications and Clinical OutcomesWei, David H. MD, MS; Feldon, Paul MDAuthor Information From the Department of Orthopaedic Surgery, Greenwich Hospital, Greenwich, CT (Dr. Wei), and Hand Surgical Associates, Boston, MA (Dr. Feldon). Neither of the following authors nor any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Wei and Dr. Feldon. Journal of the American Academy of Orthopaedic Surgeons: January 2017 - Volume 25 - Issue 1 - p 3-11 doi: 10.5435/JAAOS-D-15-00424 Metrics Abstract Total wrist arthrodesis remains an important technique in the surgical armamentarium of upper extremity surgeons. The procedure has evolved over time but continues to provide reliable pain relief at the expense of wrist motion. It is indicated for management of a wide variety of upper extremity conditions, including rheumatoid arthritis, posttraumatic osteoarthritis, cerebral palsy, and brachial plexus injuries, and as a salvage technique after failed implant arthroplasty. Recent studies demonstrate high levels of patient satisfaction and good functional outcomes after bilateral wrist fusion. Compared with total wrist arthroplasty, total wrist arthrodesis provides more reliable pain relief with lower rates of complications, but further studies are needed to compare functional outcomes and cost-effectiveness. Copyright 2016 by the American Academy of Orthopaedic Surgeons.