A surgical technique is described for unilateral arthrodesis of the wrist through a radial wrist approach with an inner iliac-bone graft. Emphasis is placed on the position of the arthrodesis, graft placement, inclusion of the second and third carpometacarpal joints with the fusion mass across the radiocarpal joints, avoidance of the distal radio-ulnar joint and other significant surgical details. In twenty-four patients treated by this method over a ten to twelve-year period results were successful in twenty-three.