Wrist surgery is performed to treat a wide variety of conditions, including fractures, carpal tunnel syndrome, arthritis, ligament injuries, ganglion cysts, and more. The goal is to restore function, reduce pain, and improve the patient’s quality of life. Surgery may be minimally invasive (arthroscopic) or open, depending on the condition.
Surgical Process
- Pre-operative Evaluation
- Imaging: X-rays, MRI, or CT scans.
- Physical examination and medical history.
- Blood tests and anaesthesia evaluation.
- Day of Surgery
- Performed under local, regional, or general anaesthesia.
- Duration: Typically 30 minutes to 2 hours.
- Outpatient or short hospital stay.
- Post-operative Care
- Immobilization (splint or cast) for 2–8 weeks.
- Pain management: NSAIDs, ice, sometimes opioids.
- Physical therapy often starts after initial healing.
Recovery Timeline:
- First Week: Swelling, pain, immobilization.
- Weeks 2–6: Stitches removed; slow return of motion with therapy.
- Months 2–6: Regaining strength, full range of motion.
- Beyond 6 Months: Final functional outcomes apparent.
Risks and Complications
Infection | Especially in open procedures. Rare but serious. |
Nerve Damage | Potential numbness, tingling, or weakness. |
Stiffness | Common after immobilization, can persist long-term. |
Non-union | Especially in bone fusion/fixation surgeries. |
Implant Failure | In wrist replacements; may need revision. |
Scar Sensitivity | Especially in carpal tunnel or open surgery. |
Wrist surgery can be life-changing for those suffering from persistent pain or injury. The type of procedure, surgeon’s expertise, and patient adherence to rehab are key to a successful outcome. While it involves downtime and risk, most patients experience significant improvement in function and pain relief.
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De Quervain’s Tenosynovitis
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Wrist Ganglion
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Scapholunate Ligament Injury
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Scaphoid Fracture Nonunion or AVN
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Kienbocks Disease
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TFCC Injuries
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Ulnocarpal Impingement
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Basal Thumb Arthritis
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STT Arthritis
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SLAC or SNAC Wrist
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Wrist Arthritis
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Distal Radio-Ulnar Joint (DRUJ) Arthritis
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Distal Radius Fracture
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Malunited Distal Radius Fracture
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Lunate Or Perilunate Dislocation
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Wrist Ganglion Excision
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De Quervain’s Release
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Scapholunate Ligament Repair or Reconstruction
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Wrist Arthroscopy
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TFCC Repair
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Ulnar Shortening Osteotomy
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Distal Radius Osteotomy
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Trapeziectomy
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Proximal Row Carpectomy
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STT Arthritis Surgery
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Partial Wrist Fusion
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Total Wrist Fusion
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Ulnar Head Replacement
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ORIF of Distal Radius Fractures
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ORIF of Scaphoid Fracture and Bone Graft
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Vascularized bone graft for scaphoid fracture
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Perilunate and Lunate Dislocation Surgery