Hi,
my son is 5 now and had his wrist fusion in may 2010. im glad we did it because he dosnt look so akward but i will tell you that my son has no finger movement so the fingers hang. looking at him now i feel he still has a bent wrist but its his fingers not the wrist.
good luck

inregards to the botox, my son had it done in a 7 month period and it was to much, now he can't straightin his arm, becareful not to do to much