Limited wrist arthrodesis is a useful method for treating specific carpel d
isorders that maximizes residual wrist motion and strength while eliminatin
g pain. Selective fusion of specific carpal units can be used in degenerati
ve arthritis, rotary subluxation of the scaphoid, midcarpal instability, sc
aphoid nonunion, Kienbock's disease, and congenital synchondrosis or partia
l fusion of specific carpal joints. This report presents our experience wit
h more than 1000 limited wrist arthrodeses, and provides a review of the in
dications and technical considerations for specific intercarpal fusions, an
d subsequent results. To date this is the largest series of intercarpal art
hrodeses and the study has demonstrated that these techniques are reliable
and effective in dealing with a wide range of wrist disorders.