Wrist replacement surgery is a
less common procedure compared to replacements for the shoulder, knee, or hip.
While hip, shoulder, and knee replacement surgeries are more prevalent for
individuals with arthritis, wrist replacement surgery is recommended for those
experiencing arthritis in the fingers and wrist. At Big Apollo Spectra
Hospital, Patna, this surgical procedure involves replacing damaged cartilage,
bone, or the entire wrist with artificial components designed to restore wrist
functionality.
Reasons for
Wrist Replacement Surgery
Wrist joints are intricate, more
so than the joints in the hip region or the shoulder. In cases of accidents,
falls, or wrist joint pain due to arthritis, wrist replacement surgery becomes
an option. When the cartilage within wrist joints is compromised or
deteriorates due to infection or medical conditions, friction between finger
bones can lead to tears and discomfort, causing wrist pain.
Two primary types of arthritis
affecting joints are:
·
Osteoarthritis: Gradual wear and tear of bones
within wrist joints due to damaged cartilage, leading to pain and discomfort.
·
Rheumatoid arthritis: A chronic and severe form of
arthritis causing joint pain, stiffness, and inflammation. It impacts multiple
joints on both sides of the body.
Both types of arthritis can
result in weakened wrist strength, hindering the ability to hold heavy objects
due to pain and reduced strength.
Wrist
Replacement Procedure
Wrist replacement surgery
includes procedures aimed at rectifying deformities or disorders in tendons,
nerves, or fingers. At Big Apollo Spectra Hospital, Patna, the surgery
commences with anesthesia administration to ensure comfort and pain relief
during the procedure. Following anesthesia, a small
incision is made at the back of the wrist. Depending on the damage to the
carpal bone's lower arm segment, the affected part is removed. The radial
component of the prosthesis is then inserted, positioning it toward the center
of the radius bone on the outer side of the lower arm.
Carpal components are placed
according to the design that optimizes pain reduction and enhances mobility and
functionality. Properly inserted carpal components are secured using bone
cement to prevent shifting or sliding. A spacer of suitable dimensions,
corresponding to the arm and carpal components, stabilizes their placement. In
some cases, carpal bones are fused to provide additional support to the carpal
components.
Associated
Risks
As with any major surgery, wrist
replacement involves complexity due to the numerous interconnected nerves and
bones. Common risks during or after surgery include:
·
Risk of post-operative infection, either during
hospitalization or upon discharge due to external factors.
·
Loosening of artificial joints, potentially caused
by improper screwing of carpal components.
·
Nerve injuries during surgery due to the proximity
of nerves and blood vessels to the wrist area.
Conclusion
Wrist replacement surgery is a sophisticated
procedure necessitating the expertise of specialized surgeons. People
experiencing arthritis-related wrist pain often opt for this surgery. If you
encounter wrist or finger pain, swelling, or discomfort, it is advisable to
consult a medical professional promptly. Proper assessments and recommendations
will guide you toward the most suitable treatment for your condition.