Wrist Fusion
What Is Wrist Fusion?
Wrist fusion, also called wrist arthrodesis, is a surgical procedure where the bones of the wrist are permanently joined together. By fusing the bones, the wrist no longer moves at the joint, but this eliminates pain and provides stability. It is usually recommended when the wrist joint is severely damaged and other treatments are not effective.
When Is It Needed?
Your doctor may recommend wrist fusion if you have:
- Severe arthritis (osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis).
- Chronic wrist pain that does not improve with medications, injections, or physiotherapy.
- Severe wrist instability or deformity.
- Failed previous wrist surgeries.
The Procedure Step-by-Step
- Evaluation – X-rays and scans confirm the extent of damage.
- Anesthesia –General or regional anesthesia is given.
- Fusion – Damaged cartilage is removed, and the wrist bones are joined using plates, screws, or pins.
- Healing – Over time, the bones grow together into one solid unit.
- Closure – The incision is closed, and the wrist is bandaged.
Recovery and Rehabilitation
- Hospital stay:Usually 1–2 days.
- Immobilization:A cast or splint is worn for several weeks.
- Physiotherapy: Focuses on strengthening the hand and forearm.
- Return to activities: Daily activities resume in 2–3 months; heavy work may take longer.
Benefits
- Provides significant pain relief.
- Restores strength and stability to the wrist.
- Allows patients to return to daily activities without pain.
- Long-lasting results.
Risks & Considerations
- Loss of wrist motion (fusion eliminates joint movement).
- Possible complications: infection, non-union (bones not fusing), or hardware irritation.
- Adaptation is required for certain activities due to reduced flexibility.
Key Message for Patients
Wrist fusion is a safe and effective surgery for patients with severe wrist arthritis or chronic pain. By permanently joining the wrist bones, the procedure eliminates pain and restores stability, though it sacrifices wrist motion. With proper rehabilitation, most patients adapt well and enjoy long-term relief.
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