ARTHROSCOPIC WRIST SURGERY
Arthroscopic wrist surgery is performed to treat wrist pain, inflammation, ligament tears and to remove ganglions. Dr Gupta uses a fibre-optic arthroscope (about the size of a pencil) with a camera attached to diagnose and treat a spectrum of wrist conditions. Rather than making extensive incisions like the ones in standard operations, arthroscopic surgery entails creating two to four incisions less than a centimetre at the back of the wrist. A camera at the end of the scope transfers images of the inside of the wrist joint comprising eight tiny bones and a network of ligaments to a screen. Dr Gupta analyses these images as he guides motorised or non-motorised surgical tools through the portals to manage wrist fractures, reconstruct ligaments and remove cysts. Using stitches, he seals the incisions and dresses the area before applying a splint.
There are certain criteria to meet towards qualifying for arthroscopic wrist surgery, which is mainly dependent on the outcome of clinical examination and imaging modalities, including an x-ray and associated scans.
You are eligible for arthroscopic wrist surgery when you experience wrist pain due to ligament damage, instability and the formation of lesions in the cartilaginous tissue. Before your eligibility for this procedure is considered, your doctor first needs to assess the mobility and stability of your wrist joint, taking into account any prior surgeries done.
The first three days after arthroscopic surgery, you must elevate your wrist. Additionally, keeping your bandages clean and dry is essential even after applying ice to the area. Physiotherapy exercises are critical for strengthening your wrist. You can expect slight pain after the surgery, but Dr Gupta will prescribe medication and analgesics to minimise your discomfort while you recover.
You may require wrist arthroscopy or wrist surgery if:
You have persistent wrist pain that cannot be treated conservatively.
You suffer from inflammation, e.g., due to rheumatoid arthritis.
You have sustained a wrist injury such as a fracture or torn ligament.
FAQ
Your rehabilitation can take up to twelve weeks to complete. Recovery can take a month, depending on how severe the condition is.
Your wrist needs to remain immobile for at least a week. Afterwards, Dr Gupta will remove the sutures and suggest mobility exercises for your wrist to regain function.
You should avoid lifting heavy weights or strength training. Once you consult Dr Gupta at a follow-up appointment, he can decide whether you are ready to begin strength training again.