The Hand Center is known worldwide for its pioneering work related to wrist reconstruction. Numerous publications and presentations over a period of more than thirty years have provided a major contribution to our understanding of common patterns of injury and degeneration of the wrist and innovative treatment approaches. Our goal is to preserve as much function and mobility as possible, with elimination of pain. Conditions that may require wrist surgery/reconstruction include rheumatoid arthritis, osteoarthritis and traumatic injury. There are a number of surgical options depending on the severity of the involvement and the functional needs of the patient. Options range from a simple synovectomy (removal of inflamed joint tissue) or localized excision of the involved portion of the joint, to a procedure that reconstructs the wrist, such as a limited wrist arthrodesis (partial fusion).