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Comparison Guide

Wrist Fusion vs Replacement

Compare wrist fusion and wrist replacement — motion preservation, durability, recovery, and which is better for your wrist arthritis.

Wrist Fusion (Arthrodesis)

Permanently joins bones to eliminate painful motion. Durability: Lifetime. Eliminates wrist bending but preserves forearm rotation and grip strength. Best for active patients, laborers, and young patients.

Wrist Replacement (Arthroplasty)

Replaces the joint surfaces with a prosthesis. Preserves 50-70% of wrist motion. However, implants have limited lifespan (10-15 years) and higher complication rates. Best for low-demand patients who prioritize motion.

Comparison

FactorFusionReplacement
Wrist motionEliminated50-70% preserved
DurabilityLifetime10-15 years
Grip strengthExcellentGood
Revision rateRare15-25% at 10yr
Best forActive/laborersLow-demand patients
Recovery8-12 weeks cast6-8 weeks splint

Frequently Asked Questions

Can I still work after wrist fusion?
Yes. Most patients return to full work including manual labor. Forearm rotation is preserved for using tools, doorknobs, etc.
Can a failed replacement be converted to fusion?
Yes. Fusion is often the salvage procedure for failed wrist replacement, though it is more complex than primary fusion.

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