Wrist joint replacement, also known as total wrist arthroplasty, offers a life-changing solution for individuals suffering from severe wrist arthritis or debilitating wrist injuries. When pain, stiffness, and decreased mobility impact daily life, replacing the damaged wrist joint with a prosthetic implant can restore comfort and function. At Lake Country Plastic and Hand Surgery in Waukesha, WI, Dr. Tracy McCall provides expert evaluation and treatment options, helping patients navigate their surgical journey with confidence and clarity.
Unlike more common joint replacements such as hips or knees, wrist joint replacement requires precise techniques due to the complexity of wrist anatomy. The wrist is composed of multiple small bones working together, making mobility and strength uniquely delicate. Wrist joint replacement is typically recommended when conservative treatments such as medications, splinting, or corticosteroid injections no longer provide relief. For appropriate candidates, surgery can significantly reduce pain and restore range of motion, improving overall quality of life.
Important Considerations Before Surgery
Deciding to undergo wrist joint replacement involves several critical considerations. Not every patient with wrist pain is an ideal candidate. Dr. Tracy McCall thoroughly evaluates each patient’s overall health, wrist condition, lifestyle demands, and long-term goals to determine the best course of action. For patients with advanced rheumatoid arthritis, osteoarthritis, or post-traumatic arthritis, wrist replacement may be a strong option.
However, candidates must also understand the limitations. While wrist replacement improves movement and alleviates pain, it does not fully restore the strength and durability of a natural wrist. Patients who perform heavy lifting, manual labor, or high-impact activities may be counseled toward wrist fusion (arthrodesis) instead, which sacrifices motion for durability. Shared decision-making is crucial, ensuring that patients have realistic expectations about what surgery can achieve based on their personal and professional needs.
Another factor to consider is implant longevity. Like all prosthetic joints, wrist implants have a finite lifespan. Over time, wear and tear can lead to loosening or failure, potentially requiring revision surgery. Maintaining an open dialogue with Dr. McCall helps patients weigh the benefits and risks carefully before committing to surgery.
What to Expect During Wrist Joint Replacement Surgery
Wrist joint replacement is performed under regional or general anesthesia and usually takes a few hours to complete. During the procedure, the damaged bone and cartilage are carefully removed, and a specially designed prosthesis made of metal and plastic components is implanted to recreate wrist function. The prosthesis typically replaces the surfaces of the radius (forearm bone) and carpal bones (small wrist bones), providing a new, smoother interface for movement.
Dr. Tracy McCall uses advanced surgical techniques to minimize tissue disruption and optimize the positioning of the implant. Post-surgery, the wrist is typically immobilized in a splint or cast to protect the area during the initial healing phase. Patients can expect to stay in the surgical center or hospital for a short period, depending on individual health needs. Early recovery focuses on managing pain, reducing swelling, and preventing complications such as infection or stiffness.
Recovery Timeline and Rehabilitation
Recovery from wrist joint replacement is a gradual process that demands commitment and patience. Initial healing usually takes about six to eight weeks, during which the wrist is protected in a splint or brace. Dr. McCall provides specific guidelines on when and how to begin gentle movements to promote flexibility without jeopardizing the implant.
Once basic healing is underway, physical therapy becomes a cornerstone of rehabilitation. Therapists work with patients to rebuild strength, improve range of motion, and restore hand function. Therapy is essential not only for regaining mobility but also for ensuring that the prosthesis functions correctly. Exercises are introduced carefully and progressively, tailored to each patient’s abilities and goals.
Most patients can expect to resume light daily activities within two to three months, but full recovery can take up to six months or longer. Activities that place heavy stress on the wrist may need to be permanently modified or avoided to protect the implant. Regular follow-up appointments with Dr. McCall are critical during recovery, allowing for monitoring of the implant’s integrity and addressing any issues early.
Embracing a New Chapter After Wrist Surgery
Undergoing wrist joint replacement can be a transformative experience, relieving chronic pain and restoring valuable independence. Patients often report being able to return to activities they had given up, such as cooking, driving, gardening, and enjoying hobbies. While the journey requires effort, education, and adaptation, the rewards are well worth it for many.
At Lake Country Plastic and Hand Surgery, Dr. Tracy McCall provides comprehensive care that extends beyond the operating room. Patients receive personalized support through each phase of recovery, helping them rebuild not only physical function but also confidence in their abilities. With a thoughtful, committed approach, wrist joint replacement can open the door to a more comfortable, active, and fulfilling life.
Sources:
- Weiss, A. P. C. (1999). Total Wrist Arthroplasty. Journal of the American Academy of Orthopaedic Surgeons.
- Chung, K. C., & Werthman, L. (2001). Management of Wrist Arthritis: From Arthrodesis to Arthroplasty. Hand Clinics.
- Rettig, M. E., & Raskin, K. B. (2001). Total Wrist Arthroplasty: Indications and Outcomes. Orthopedic Clinics of North America.
