This 2007 narrative review by Weiss and Rodner systematically addresses the etiology, diagnosis, and surgical management of wrist osteoarthritis — covering the full spectrum from SLAC/SNAC reconstruction to total wrist arthrodesis — and synthesizes biomechanical and clinical outcome data to guide operative decision-making.
When planning surgery for SLAC or SNAC wrist, confirm capitate head cartilage integrity first: a pristine capitate head opens the door to PRC (lower technical demand, no nonunion risk), while capitolunate degeneration (stage III) mandates four-corner arthrodesis or total wrist arthrodesis instead.
If you choose four-corner arthrodesis, use distal radius cancellous autograft — not scaphoid bone — and recess any dorsal plate below the lunate cartilage to avoid extension impingement.
This 2007 narrative review by Weiss and Rodner systematically addresses the etiology, diagnosis, and surgical management of wrist osteoarthritis — covering the full spectrum from SLAC/SNAC reconstruction to total wrist arthrodesis — and synthesizes biomechanical and clinical outcome data to guide operative decision-making.
When planning surgery for SLAC or SNAC wrist, confirm capitate head cartilage integrity first: a pristine capitate head opens the door to PRC (lower technical demand, no nonunion risk), while capitolunate degeneration (stage III) mandates four-corner arthrodesis or total wrist arthrodesis instead.
If you choose four-corner arthrodesis, use distal radius cancellous autograft — not scaphoid bone — and recess any dorsal plate below the lunate cartilage to avoid extension impingement.