Wrist Replacement (Total Wrist Arthroplasty)
Wrist replacement is a surgical treatment option, particularly for patients with persistent pain and limited motion due to rheumatic diseases or severe osteoarthritis. In this procedure, the damaged bone surfaces forming the wrist joint are replaced with artificial prosthetic components, helping to preserve joint motion and reduce pain.
Why Is It Performed?
Wrist replacement is usually indicated in the following situations:
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Advanced wrist osteoarthritis
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Rheumatic diseases, especially rheumatoid arthritis
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Joint damage resulting from previous trauma or fractures
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Persistent pain and limited motion that do not improve with medications or physical therapy
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Patients seeking an alternative to wrist fusion (arthrodesis)
Types of Wrist Replacement
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Total Wrist Replacement
The damaged joint surfaces between the radius (forearm bone) and the carpal bones (wrist bones) are removed and replaced with mobile prosthetic components. The goal is to restore a pain-free and functional range of motion. -
Revision Wrist Replacement
This procedure is performed when a previously implanted wrist prosthesis needs to be replaced due to loosening, fracture, or infection.
Benefits of Wrist Replacement
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Relief from severe wrist pain
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Preservation of range of motion
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Maintenance of hand functions such as writing, dressing, and gripping
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More natural use and appearance compared to fusion surgery
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Significant improvement in quality of daily life
Note: Wrist replacement is suitable for patients who want to preserve motion but do not subject the wrist to heavy loads. It may not be durable for patients performing strenuous manual work.
Frequently Asked Questions
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How much can I use my hand after wrist replacement?
The wrist is usually supported with a special splint during the first few weeks. Controlled use can typically begin within 4–6 weeks. Physical therapy is important for full functional recovery. -
Can I perform heavy tasks?
No. After wrist replacement, heavy lifting or tasks that put stress on the wrist, such as using drills or screwdrivers, are not recommended. -
How long does a wrist prosthesis last?
With light to moderate activities, it can last 10 years or longer. Regular follow-up is recommended. -
Is physical therapy necessary?
Yes. Physical therapy is crucial for maintaining wrist motion and increasing muscle strength.