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Total Joint Replacement at the Wrist and Hand
Total Joint Replacement at the Wrist and Hand
What is Total Joint Replacement?
Total joint replacement is a surgical procedure in which parts of an arthritic or damaged joint are removed and replaced with a metal, plastic, or ceramic device called a prosthesis.
The prosthesis is designed to replicate the movement of a normal, healthy joint.
Hip replacement surgery and knee replacement surgery – big joint replacement – are most common, but replacement surgeries for other joints, including wrist and finger joints – small joint replacement are also possible.
Joint replacement surgery at the fingers, hand and wrist:
- provide pain relief
- increase finger range of motion
- improve hand function
Are you a candidate for Total Joint Replacement?
Joint replacement surgery on the hand is an excellent option for
- treating arthritis of the hand in older patients
- patients with rheumatoid arthritis
What is the care after Total Joint Replacement?
Hospitalization | 1 night |
Antibiotics | Cephazolin 2g single shot |
Pain management | Cox 2 (Arcoxia ™/Etoricoxib 90mg 1-0-0) for 7 – 10 days |
Positionning | Hand at heart level, no sling |
Mobilisation | Early regular movement from the 1st post-OP day on |
Activities | Movement without force immediately, partial load (<10 kg) by 10-14 Days, full exercise (sport) 6 weeks post-op |
Drain | no |
1st dressing | before dismission: control of perfusion of the skin flap |
Anticoagulation | No |
Shower | 24 – 48 h post-OP (Attention: risk of hypotensive syncope in postoperative hypotension aggravated by vasodilation due to warm water) |
Sick leave | 1 – 6 weeks (depending on the type of work: desk job/manual work) |
Bath | After complete wound healing |
Removal of stitches | 10-14 days post-OP |
Skincare | Fat creme 3-5x/d by the patient him/herself |
Scare treatment | Silicon sheet application after complete wound healing + compression until complete scar healing |
Check-up | 1-day post-op: X-ray control post-OP 10 days (suture removal) 3 weeks post-OP (start scar treatment) 6 weeks post-OP (control swelling, control scar treatment) 12 weeks post-OP (control swelling, control scar treatment, X-ray control osteointegration) 1-year post-OP (long-term result, X-ray control osteointegration) |
