Wrist Fusion
Overview
Wrist fusion, also known as arthrodesis, is a surgical procedure carried out to eliminate pain, restore stability, and increase functionality in the joint where the hand connects to the arm. It’s an option typically considered when other forms of treatment have been unsuccessful. When wrist pain results from degeneration, arthritis, trauma or disease, a wrist fusion may be the preferred course of action.
Types
There are no specific ’types’ of wrist fusion per se, but wrist surgeries can be categorized based on the extent of fusion:
1. Complete wrist fusion: This involves the fusion of all wrist joints to provide maximum stability. The drawback is reduced mobility.
2. Partial wrist fusion: Only some joints are fused in this procedure, maintaining a degree of natural movement in the wrist. This is usually an option when only certain portions of the wrist are damaged.
Causes
Conditions that might lead to the need for wrist fusion include:
1. Severe injuries that damage the bones of the wrist.
2. Chronic arthritis, particularly Rheumatoid arthritis.
3. Post-traumatic arthritis, which can occur after a wrist injury.
4. Instances where previous wrist surgery has failed.
5. Certain congenital wrist deformities.
Symptoms
People who might need wrist fusion often experience:
1. Chronic wrist pain which doesn’t respond to non-surgical treatments.
2. Instability in the wrist.
3. Decreased range of motion.
4. Hand weakness affecting grip and function.
Diagnosis
For diagnosing conditions that could require a wrist fusion, doctors may use:
1. X-rays: These images will highlight any abnormalities in the bones.
2. MRI or CT scans: This will give a detailed view of the wrist and can help the doctor assess the severity of the damage.
3. Physical Examination: Your doctor would assess the range of motion, stability, and any deformities in your wrist.
Treatment Options
Wrist fusion is typically an option when nonsurgical treatments haven’t relieved the painful symptoms. These might include:
1. Medications: Over-the-counter pain relievers or steroid injections to reduce inflammation and pain.
2. Therapy: Physical therapy can help strengthen the wrist and improve range of motion.
3. Bracing or wrist supports may help provide stability.
If these treatments don’t offer enough relief, surgical interventions like wrist fusion might be recommended. The procedure involves removing the damaged cartilage and fusing the bones of the wrist together using screws, creating one solid unit.
Living With Wrist Fusion
After surgery, certain adaptations and preventive measures will help manage the condition:
1. Hand Therapy: A therapist may help you rehabilitate your wrist slowly.
2. Exercise: Gentle exercise can help retain some mobility in the wrist.
3. Medication: To relieve post-operative pain, your doctor might recommend certain medication.
It’s worth noting that while a wrist fusion can significantly lower or eliminate pain, it does substantially decrease wrist motion.
When to Seek Help
If you’re experiencing extreme wrist pain that isn’t relieved by conventional treatments, or if your wrist is unstable and affecting the quality of your life, seek medical advice. Wrist fusion surgery isn’t for everyone, but it could potentially be a solution for returning stability and function back into your hand. Discuss your symptoms, lifestyle, and goals with your doctor to determine if wrist fusion is right for you.
Remember, any issues such as increasing pain, infection at the surgical site, or signs of decreased movement should be addressed by your surgeon immediately post operation. In essence, while wrist fusion is a significant procedure with notable aftercare, it is often successful at delivering long-lasting pain relief.
