Made of ligaments, cartilage, bones and tendons. Encompassed within eight carpal bones wrist is a delicate structure and when even one of its part sustains injury or is affected by a disorder the wrist joint gets damaged on the whole and loses its motion affecting the hand joint and forearm functioning thereafter.
With unbearable pain and swelling are symptoms that signify a major debilitating condition of the wrist. A fall on the outstretched palm, a traumatic injury, a congenital disease or a disorder of the nerves such as arthritis, carpal tunnel syndrome, scaphoid fracture or other disorders cause the wrist to be clinically dead.
depending on the severity and type of injury or disorder borne by the wrist. Not all painful conditions of the wrist heal after medication or realignment and thus need services of an efficient wrist surgeon for all problems from dislocation to a severe tendon or ligament tear. Any delay in diagnosis or treatment by an unskilled surgeon can become the cause of a lifetime impairment.
Wrist Joint is susceptible to severe fractures, pain, dislocation or arthritis which cause debilitation and interfere in the mobility of the joint. Medical attention of a wrist surgeon is sought to alleviate the symptoms of the trauma and stop further degradation.
When the cartilage of the wrist gets worn out or damages due to an injury or degenerative disease, the ends of the bones start to rub against each other when the wrist performs an action gradually resulting in loss of strength and gripping ability of the wrist. It stops the patient from performing normal daily activities prevalently persistent with an intense pain and swelling that do not subside in spite of treatment by various modalities. To maintain functionality in the hand and wrist, the wrist surgeon undertakes repair of the wrist by replacement surgery.
The primary reason for performing a wrist replacement surgery is to stop the bones from rubbing against each other. When the damaged joint is replaced by an artificial joint, the joint is provided with a new surface which facilitates the smooth rubbing of bones against each other without any pain or clicking. The alternative technique to wrist replacement surgery is Fusion technique. It restores strength and helps in subsidization of the pain but reduces the wrist’s range of motion substantially thus being considered as not an optimum choice for many patients.
Wrist replacement is considered to be the best alternative for a wrist joint that is severely damaged and has lost functional mobility.
The patient should immediately consult our medical team click here for appointment
The decision to go ahead with the replacement surgery is a joint decision taken by the wrist surgeon and the patient. Once the surgery is agreed upon, the wrist surgeon asks the patient to undergo complete physical examination to ensure that the patient is fit to undergo the surgery. The patient is also informed in detail about the surgery and its effects to ease the patient’s anxiety and information regarding intake of medications, allergies to certain compositions, reaction to anesthesia is taken from the patient to facilitate surgery.
Wrist replacement surgery also known as Arthroplasty is referred to replacement of the damage wrist joint with an artificial joint which is made of a high quality plastic, polyethylene or silicone rubber implant. After anesthesia the wrist surgeon makes cuts on the back of the wrist. The damaged parts are removed and implants are fixed with bone cement and then connected with a hinge pin.
After surgery the wrist is covered with protective bandage and an arm length cast or splint. The surgeon schedules a follow up visit within a week to monitor the wrist and removes the stitches after two weeks. The wrist is kept elevated above the heart level for several days to avoid swelling and enable healing.
The patient takes up to three months to recover after the replacement surgery. Too many activities are prohibited from being picked up by the patient too soon after the surgery. Gradually with therapy and medications the patient resumes normal activities and all other leisure activities that were performed by the patient prior to the debilitation of the wrist joint.
Replacement surgery is prone to certain complications that may vary from infection to poor healing of the artificial joint. Sometimes the nearby nerve may also sustain an injury during the surgical procedure and the artificial implant may become loose or wear off due to pressure or overuse requiring revision surgery.
The patient who undergoes replacement surgery enjoys an improved life as the lost mobility in the wrist is restored. The life of the wrist gets longevity and keeps working as a normal wrist until faced with any rare complication.
The recovery program is well formulated to suit the patient personally under a skilled physical or occupational therapist. It is an essential prerequisite to restore mobility and reduce stiffness in the joint. The program is divided into phases under which the patient learns how to control pain, strengthen muscles around the joint and learn ways to manage activities without pressurizing the wrist.
The rehabilitative program includes heat therapy, gentle massages, gentle range of motion exercises and other protocols that help improve strength and mobility, control pain and regain the fine motor skills.
The patient should immediately consult our medical team click here for appointment
Dr. Vikas Gupta is an acclaimed professional in the field of upper extremity. Based at Max Healthcare presently as the head of hand and shoulder division, Dr. Gupta strives to deliver treatment for each and every debilitation in the upper extremity that result from traumatic injuries or congenital and degenerative diseases. Dr. Gupta has been awarded with prestigious honors for his exemplary and significant contribution to the field after being in the profession for more than 25 years and more than 6000 surgical releases. His forte of deliverance over the years have been AIIMS, Fortis, Medanta- the Medicity and presently Max Healthcare. As an MBBS and MS in Orthopedics from All India Institute of Medical Sciences, New Delhi and post graduate studies from Germany and USA, Dr. Gupta has been introductory to many international and painless techniques and emerged as highly influential role model for his peers and interns. With an extremely calm demeanor and compassionate approach he makes patients seek his medical advice and with deftness in surgical skills and accurate diagnosis he has proven to be an outstanding specialist. Max Healthcare, his present forte of deliverance is a super specialty hospital that believes in proving the best, most cost effective and painless techniques to their patients through international machines and team of ingenious professionals.