The human wrist is made up of small bones joined together by bands of tough fibrous tissue known as ligaments. Ligaments also join the bones in our wrist to the radius, ulna, and metacarpal bones and aid in the proper functioning of our wrist.
Any injury to the ligaments can disturb the normal alignment of our wrist bones, causing them to wear out faster, resulting in significant pain and potentially leading to arthritis.
Indications of Wrist Ligament Reconstruction
Surgical treatment in the form of wrist ligament reconstruction may be indicated in cases where the wrist ligament is completely torn and the ligament cannot be completely repaired.
Wrist Ligament Reconstruction Procedure
Ligament reconstruction procedure can be performed as day surgery under local or general anesthesia.
During the procedure, your surgeon first makes an incision over your wrist joint to locate the torn ligament. Once located, a tendon graft (tissue obtained from a donor part, usually the palmaris longus tendon of the same wrist) or a heavy suture is used to replace the torn ligament. The tendon is harvested through the bottom of your wrist via one or two small incisions. Your surgeon may then place metal pins to support the repair while healing occurs. The surgical incisions are closed and dressing is applied. The pins are usually removed 6 to 8 weeks after the surgery. Your doctor will guide you through your postoperative period including wound care, medications, activity restrictions and follow-up.
Postoperative Care after Wrist Ligament Reconstruction
Your surgeon will place a cast or a splint that immobilizes the wrist until it is healed. The operated wrist should be elevated to prevent excessive swelling and pain. Ice wrapped in a cloth can be applied over the operated area to help reduce swelling. Always remember to keep the operated area clean and dry to prevent infection. Exercises are performed to strengthen the wrist and rebuild your strength.
Risks and Complications of Wrist Ligament Reconstruction
Some of the risks possible after wrist ligament reconstruction include infection, swelling, damage to the nearby nerves or tissues during surgery, irritation from foreign material such as pins, and stiffness, which can be treated through postoperative rehabilitation.
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- Wrist Open Reduction and Internal Fixation
- ORIF of Distal Radius Fracture
- Peripheral Nerve Repair
- Wrist Arthroscopy
- Microvascular Surgery
- Wrist Joint Replacement
- Carpal Tunnel Release Surgery
- Wrist Ligament Reconstruction
- Total Wrist Arthrodesis
- Hand Fracture Surgery
- ORIF of the Forearm Fractures
- Endoscopic Carpal Tunnel Surgery
- Wrist Fracture Fixation
- Sports Injury Management of Hand, Wrist and Elbow