The Acumed® Total Wrist Fusion Plating System was designed for wrist arthrodesis due to deformities associated with degenerative arthritis, brachial plexus palsies, and spastic disorders. This five plate system features both innovative and traditional designs. Specifically, four of the five plates are positioned on the second metacarpal. These left and right specific designs are positioned on the second metacarpal which may reduce extensor tendon irritation. Additionally, the fifth plate is a neutral option that is placed on the third metacarpal and developed for use with a proximal row carpectomy.