Has anyone had a four corner fusion of the wrist or total fusion?

Four-corner fusion and total wrist fusion are surgical procedures used to treat severe wrist arthritis or instability. Here's a general overview of each procedure and what individuals have experienced:

Four-Corner Fusion:

1. Procedure: Four-corner fusion involves fusing the four bones that form the wrist joint (the scaphoid, lunate, triquetrum, and pisiform) to create a stable joint. This is typically done through an open surgical approach.

2. Recovery: The recovery period for four-corner fusion can be several months. Initially, the wrist will be immobilized in a cast or splint to allow the bones to heal. Physical therapy is typically recommended to help regain wrist motion and strength.

3. Outcomes and Experiences: Many individuals who undergo four-corner fusion experience significant pain relief and improved wrist stability. However, some limitations in wrist movement may persist after surgery. Activities requiring fine motor control or significant wrist flexibility may be affected.

Total Wrist Fusion:

1. Procedure: Total wrist fusion involves fusing all the bones of the wrist joint, including the carpals and the lower end of the radius and ulna. It's typically performed for more severe arthritis or instability.

2. Recovery: The recovery from total wrist fusion can be longer compared to four-corner fusion. The wrist may be immobilized for a more extended period, and physical therapy is still necessary to restore some movement and strength.

3. Outcomes and Experiences: Most people who undergo total wrist fusion experience significant pain relief and improved stability. However, due to the complete fusion of the wrist joint, there will be a permanent loss of wrist motion. Activities requiring wrist flexibility will be limited, and certain tasks may require adaptation or assistance.

It's important to remember that individual experiences may vary, and outcomes can depend on factors such as the severity of the underlying condition, the surgical technique used, and individual healing processes. Consulting with an experienced hand surgeon can help you understand which procedure may be suitable for your specific situation and discuss what you can expect in terms of recovery and outcomes.