Wrist Treatments

Wrist Treatments

This is probably the first of its kind department in the country where a dedicated team treats ailments of upper extremity. Dr. Vikas Gupta has more than 6,000 successful hand upper extremity surgeries to his credit. He has been a pioneer in this field, and many of the procedures were introduced by him in India. Therefore, many describe his clinic as “Centre Of Excellence For Wrist Surgery”

All kinds of wrist disorders are treated by Dr. Vikas Gupta. Following are few broad groups we have divided wrist disorders into:

  • Complex wrist trauma: This includes fractures of/around wrist. Fractures could be associated with dislocation or complex fractures with multiple fragments. These fractures are treated with latest techniques and new-generation implants (plates and screws).

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  • Dr. Vikas Gupta was the first surgeon in India to use 3.5 mm locking plates for distal radius fractures in 2004.
  • He performed the first case in India of LDRS 2.4mm for fracture distal radius in 2007.
  • In July 2010, the first variable angle locking plate for distal radius was used by Dr. Vikas Gupta.
  • He was also the first to use VA-LCP Volar Rim Distal Radius Plate 2.4 mm in India in April 2012.
  • Presently, along with select few surgeons across the world, he is involved in designing of the new implant for distal radius fracture

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  • He was the first surgeon to perform arthroscopic assisted fixation for distal radius fracture and has the largest series so far in India.
  • Wrist Arthroscopy is a minimally invasive surgery for wrist (key hole surgery). Dr. Vikas Gupta has been the pioneer in bringing this technique to India. He has the largest series of arthroscopic TFCC repair in the country.

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  • Total wrist replacement. Dr. Vikas Gupta performed Total Wrist replacement (ceramic on ceramic) in India. He was also the first surgeon to perform revision wrist replacement in the country.
  • Whenever joint is arthritic leading to pain/stiffness, prosthetic (artificial) joint is used to replace normal joint. Indications of wrist replacement are painful or unstable or stiff wrist where no other procedure can give painless wrist movements. It is superior to wrist arthrodesis procedure, which is the conventionally used procedure.

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  • Scaphoid fracture and other carpal bone injuries: Dr. Vikas Gupta did the first arthroscopic assisted fixation for scaphoid and commonly does percutaneous fixation of scaphoid fractures. He has been doing vascularized bone grafting for nonunion fracture scaphoid for more than 10 years.
  • Kienbock’s disorder is treated using standardized protocols with contemporary procedures like vascularized bone grafting, radial shortening, and capitates shortening and limited carpal fusion.
  • Dr. Vikas Gupta has the largest series of endoscopic carpal tunnel release in the country.
  • Newer modalities like stem cell therapy for tendinopathies like tennis elbow.
  • Advanced rehabilitation therapy: Each surgery is complimented by advanced rehabilitation by our rehabilitation team. We use advanced braces like turnbuckle brace, continuous passive motion devices, and functional manual therapy with contemporary rehabilitation protocols which results in best outcomes after surgery.
About Dr. Vikas Gupta
  • Dr. Vikas Gupta has been delivering lectures, conducting workshops and performing live surgeries at national and international meetings.
  • Dr. Vikas Gupta has been elected as secretary of indian society of surgery for the hand from 2013-2015.
  • He pioneered arthroscopic procedures for wrist and has the largest series in the country. His work on arthroscopic assisted fixation of distal radius fractures was accepted for presentation at British hand society and arthroscopic findings of different pathologies of wrist were presented at the American Society for Surgery of the Hand.
  • Dr. Vikas Gupta has the largest series of radial head/replacements in India.
  • He started fixation of hand and wrist fractures with locking plates in India.
  • He has been the first to percutaneous fixation ( He has more than 40 publications in national and international journals and more than 140 presentations in national and international conferences including podium presentation at the American Academy of Orthopedic Surgeons. He delivered plenary lecture at annual conference of Bangladesh orthopedic society on “Congenital Anomalies of Hand”.
  • Dr. Vikas Gupta has been actively participating in various community welfare projects. He is also trustee of NGO “handcarefoundation”, which is contributing to partnership efforts that provide educational and medical services to underprivileged people. Handcarefoundation is also knowledge partner in continuing medical education of surgeons in the form of seminars, workshops and fellowships.
  • Dr. Vikas Gupta has been nominated in the prestigious Marquis Who’s Who in Asia 2007 for his relentless service to society and excellence in the professional field.
Conditions & Treatments Of Wrist
We are pioneers in wrist surgeries e.g. First wrist replacement of country, first in country to use locking plates for fracture distal radius also part of designer team for one of the FDA approved variable angle locking plate.