Wrist replacement surgery or wrist arthroplasty means removing damaged bone or joints in the wrist and replacing them with artificial or prosthetic joints.
As the first surgeon in India to perform revision wrist replacement in India, Dr Vikas Gupta categorically believes that wrist replacement surgery requires extreme skill as it is an excessively challenging and delicate procedure considering the intrinsic bone structure and smaller joint size that hands have in comparison to larger joints such as the hips or knees.
Since it is a major surgery and recovery takes several weeks, weigh the benefits and risks if you are considering going in for wrist replacement. Age is also an important factor. But the final decision is based on your level of pain and how much that pain limits your activities.
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Having performed more than 18000 successful complex hand and upper extremity surgeries, Dr Gupta emphatically stresses that wrist replacement is advised by a surgeon only when you cannot complete normal daily tasks without help or you have significant pain every day despite taking medicines or applying all non surgical remedies to relieve your injury or disease. The reason for losing wrist mobility could be because of a traumatic injury that you have received which has damaged the wrist beyond repair or due to severe degenerative diseases such as osteoarthritis or rheumatoid arthritis.
To sum up in simple terms wrist replacement surgery helps to eliminate or reduce your pain, enhance your wrist movement and mobility, helps you to return to doing normal activities and also helps you to play low impact sports again. It often succeeds at restoring wrist function.
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Dr. Vikas Gupta nominated in the prestigious Marquis who’s who in Asia 2007 for his relentless service and excellence in hand and upper extremity surgery continues to strive for perfection and in quest for being relentless in his goal for patient satisfaction he prefers to personally monitor preoperative examination of the patient to help determine patient’s current pain levels, functional wrist capacity, and the range of motion and strength of each hand.
Dr Vikas Gupta being the first surgeon to perform wrist replacement (Ceramic on ceramic) in India says, “Most patients after wrist replacement is performed have to wear a splint for 14 to 30 days during which we recommend finger and gentle wrist
As for recovery it takes many weeks before we allow the patient to return to any type of lifting or repetitive movement activities. Any types of activities that place extreme pressure on the wrist joint and could lead to complications are prohibited by us.
Dr Vikas gupta is also the first surgeon to perform revision wrist which means performing wrist replacement in a patient who already has undergone replacement in same wrist. This surgery is much more complicated and requires precision as it is performed in already replaced wrist which have either failed or worn off.
Testimonials by patients and link to cases:
Hindustan Times – 9 May 2009
FAQ – Wrist Replacement
Wrist replacement refers to removing the damaged bones in the wrist and replacing them with artificial components called prosthesis. It is also known as wrist Arthroplasty.
When all techniques fail to bring back mobility in the wrist and relieve the patient from intense pain, replacement surgery is performed to facilitate movement and normal functioning of the hand and wrist.
Wrist replacement becomes essential when the hand or wrist are affected by severe Rheumatoid Arthritis, Osteoarthritis or the cartilage is worn away by injury or disease. These conditions impair the strength of the hand and fingers thus reducing their gripping and pinching ability and causing pain, stiffness and swelling in the joints.
Under wrist replacement, the damaged ends of the worn out bones are removed and replaced with artificial joint which are usually made either with metal components and a high quality plastic, polyethylene or silicone rubber implant.
It can be performed as an outpatient surgery by making small incisions on the back of the wrist. The damaged bones are removed and then implants are inserted through the incision and held in place by bone cement. The bones may be fused together by screws and then a spacer is fitted between the metal components.
Wearing a cast for few weeks is the first and most essential precaution needed for recovery. After removal of the cast comes the splint essential for another few weeks. Therapy exercises are prescribed by the surgeon to enable relief in pain and restoring gradual motion in the joint.
The demands that are put on the replaced joint physically determines its lasting ability. The surgery certainly has its limitations. Tools, weight, roller sports and any activities that make movement heavy and a burden should be avoided. Generally the implant lasts for many years but follow up after every two year or so is essential to give it longevity.
- Frozen Shoulder
- Shoulder Dislocation / Shoulder Instability
- Rotator Cuff Tears / Injuries
- Scapula Fractures
- Shoulder Replacement
- Impingement Syndrome
- Proximal Humeral Fractures
- Clavicle Fractures
- Loose Body Removal
- Synovial Biopsy / Synovectomy
- Slap Injury and Repair
- AC Joint Injury
- PASTA Lesion and Repair
- Hand and Wrist Fractures
- Carpal Tunnel Syndrome
- Basal Joint Thumb Arthritis
- Distal Radius Fracture
- Scaphoid Fractures
- Radial Club Hand
- Rheumatoid Arthritis
- Metacarpal Fractures
- Giant Cell Tumors (GCT) Tendon Sheath
- Phalangeal Fractures
- Congenital Trigger Thumb
- Radial Nerve Injury
- Median Nerve Injury
- Extensor Tendon Injuries
- Flexor Tendon Injuries
- Ulnar Nerve Injuries
- Nerve Injuries Finger
- Mallet Finger
- Thumb Extensor Tendon (EPL) Rupture
- Dupuytren’s Contracture /Disease