CPT® Code 25800

Arthrodesis, commonly known as joint fusion, is a surgical procedure aimed at alleviating pain and enhancing joint stability. This procedure is particularly beneficial for patients suffering from various forms of arthritis, including rheumatoid arthritis, osteoarthritis, and post-traumatic arthritis. Additionally, it is indicated for conditions such as spastic flexion contracture, degenerative scaphoid nonunion, and cases where previous wrist arthroplasty has failed. The surgery involves creating an incision along the midline of the posterior wrist, extending from the distal forearm to the proximal metacarpal region. This approach allows for the exposure of the radiocarpal joint and the distal radioulnar joint (DRUJ). During the procedure, the retinaculum is carefully released, and the surrounding nerves are protected to prevent injury. The removal of articular cartilage is a critical step, which is performed using specialized instruments like rongeurs or burs. Following this, the affected joints are immobilized with internal fixation devices, such as pins or plates and screws, to ensure proper alignment and stability during the healing process. The ultimate goal of arthrodesis is to achieve complete fusion of the wrist joints, thereby providing significant pain relief and restoring functionality to the wrist.