Hand and Wrist Surgery
Hand and wrist surgery deals with surgical and nonsurgical treatment of conditions and problems such as arthritis, affecting the hand and wrist.
Overview of Hand and Wrist Surgery
The hand and wrist surgery deals with surgical and nonsurgical treatment of conditions and problems affecting them. The surgery can relieve pain and restore hand function. It can treat hand and wrist injuries, arthritis including osteoarthritis and rheumatoid arthritis, infections, degenerative changes to the structures in hand and wrist, and problems or defects that are present at birth. If the decision is made for the surgery after other treatments, patient will need a specialist to know how to fix all the matters.
Type of Hand and Wrist Surgery
- Carpal tunnel release: to ease pressure on the nerve, under local anesthetic, splitting the carpal tunnel ligament
- Closed reduction and fixation: Wrist bones are regularly broken or fractured. The procedure involves implant wires, screws or plates to stabilize and hold pieces of bone in place to heal properly. • Dupuytren’s contracture fasciotomy: the connective tissue in palm or fingers is divided to release the tightness in hand. The surgery removes the tissue and release fingers.
- Ganglion removal: pockets of fluid (cysts) known as ganglions. They feel firm or hard when pressed and are commonly found on the back of the wrist, but they can occur elsewhere. They are commonly associated with osteoarthritis. They are drained using a needle.
- Joint replacement (arthroplasty): to replace or stabilize affected joints using plastic or metal components • Tendon repair: the repair of ruptured tendons which is caused by infection, trauma, or arthritis to improve hand control
- Trigger finger release: trigger finger is a condition in which the fingers become stuck in place when they’re bent. The surgery involves the cutting through of an affected section of the tendon sheath.
- Trapeziectomy: trapezium is a bone in the wrist at the base of the thumb. When an individual have arthritis, trapezium it may cause pain and make simple tasks more difficult. The surgery performed to remove trapezium bone.
Hand and Wrist Surgery Recommended For:
- Patients with osteoarthritis who are older than 50
- Patients who have hand and wrist injuries or severe infection
- Patients who have degenerative changes to the structures in hand and wrist
Before Hand and Wrist Surgery
Patients should stop taking certain medications such as Aspirin, anti-inflammatory drugs and herbal supplements prior to the surgery. They should stop smoking a few weeks before and after the surgery. They should stop drinking and eating around 6 hours before the surgery. Also, they may need additional imaging tests, like X-rays, CT scan, or MRI before the surgery.
During Hand and Wrist Surgery
Patients usually would be under general anesthesia during the procedure. This procedure usually lasts 1 to 3 hours. Patients need to stay at the hospital for 2 to 5 days. And they should start therapy right after the surgery..
After Hand and Wrist Surgery
Patients should wear a bulky bandage on wrist and hand for a week or two after the surgery. The stitches will be removed within 10–14 days. They should elevate hand to decrease swelling. Begin mobilizing fingers as soon as possible to avoid stiffness.it is recommended to use ice or cold gel packs 3-5 times a day for about ten minutes at a time. They should attend physical therapy with a Certified Hand Therapist.