Treatment

Wrist Joint Replacement

Overview

Wrist joint replacement, also known as wrist arthroplasty, it is a surgical procedure where a damaged or severely arthritic wrist joint is replaced with an artificial joint (prosthesis). This procedure is typically recommended when non-surgical options no longer relieve pain, and movement becomes limited due to conditions like rheumatoid arthritis or osteoarthritis. The goal is to reduce pain and restore motion, helping patients regain daily function with comfort.

Why Wrist Joint Replacement is Required?

• When you suffer from severe wrist arthritis and conservative treatments like medication or splints are no longer effective.
• If daily activities become difficult due to pain, stiffness, or limited movement.
• When joint deformity or instability is present and affects quality of life.
• For patients who want to preserve some wrist motion, especially when compared to wrist fusion.
• When there is bone erosion in the wrist joint, often caused by autoimmune diseases like rheumatoid arthritis.

Key Advantages of Wrist Joint Replacement Treatment

• Pain relief from chronic wrist arthritis.
• Improved wrist movement compared to wrist fusion.
• Allows patients to perform daily tasks like dressing, eating or typing with more ease.
• Preservation of grip strength in many cases.
• Minimally invasive options may be available for suitable patients.
• Better cosmetic appearance than some alternatives.

How Should You Prepare Yourself Before Wrist Joint Replacement Treatment

• Consult an orthopedic specialist for a full evaluation of your wrist condition.
• Get imaging tests like X-rays or MRI to assess joint damage.
• Inform your doctor about any medications, supplements or allergies.
• Stop smoking and manage blood sugar levels if you’re diabetic – it helps healing.
• Arrange post-surgery support for activities like dressing or cooking.
• Discuss anesthesia options and clarify any concerns with your surgeon.

How Wrist Joint Replacement Treatment is Performed?

• Surgery is usually done under regional or general anesthesia.
• A small incision is made over the wrist joint to access the bones.
• Damaged joint surfaces are carefully removed.
• A wrist joint prosthesis (metal and plastic parts) is implanted.
• The soft tissues are adjusted, and the incision is closed with sutures.
• The wrist is placed in a splint or cast to aid healing initially.

What You Can Expect Before, During and After Procedure?

• Before Procedure:
• Medical evaluations and imaging.
• Pre-surgery instructions from your doctor.
• Fasting guidelines and anesthesia discussion.
• During Procedure:
• Lasts around 1.5 to 2 hours.
• Surgeon replaces the damaged joint with an artificial implant.
• Careful attention is given to preserve nerves and tendons.
• After Procedure:
• Recovery in hospital for 1–2 days in most cases.
• Wrist will be immobilized initially.
• Physical therapy starts early to regain strength and motion.
• Stitches removed after 10–14 days.
• Full recovery may take 6–12 weeks or longer, depending on individual healing.

Risk and Potential Complications

• Infection at the surgical site.
• Implant loosening or wear over time.
• Nerve damage or decreased wrist strength.
• Joint stiffness or limited range of motion.
• Blood clots or swelling in rare cases.
• Reoperation may be needed in case of implant failure.

Results/Outcomes

• Most patients report significant pain relief and better wrist function.
• Improved ability to perform daily activities.
• The prosthetic joint may last 10–15 years or longer depending on use.
• Success rates are high, especially in well-selected patients.
• Long-term results improve with regular follow-ups and rehab.