Abstract
1. A medial approach is preferred for arthrodesis of the wrist in reconstructive surgery because there is no interference with the extensor tendons.
2. The value of pre-operative assessment by a trial period in plaster is mentioned.
3. The technique of operation is described.
4. In the absence of active pronation, screwing the ulna to the radius in 45 degrees of pronation is advised.
5. The necessity for securing haemostasis before closing the wound is emphasised.
6. Thirty-four cases are reviewed. The shortest follow-up was one year and the longest twelve years. The result was satisfactory in all cases. Most patients were discharged from hospital after the plaster had been changed two weeks after operation. Union occurred in about sixteen weeks.
