Name of the Procedure:

Upper Extremity Addition, Stainless Steel, Any Wrist (L6630)

Summary

This procedure involves the surgical addition of a stainless steel component to the wrist. It is typically performed to enhance wrist stability and functionality, often following an injury or as part of a reconstructive surgery.

Purpose

The primary goal is to improve wrist stability and mobility. It is often used to address conditions like severe arthritis, wrist instability, fractures, or following the failure of previous wrist surgeries.

Indications

• Severe wrist arthritis
• Chronic wrist instability
• Non-union or mal-union of wrist fractures
• Failed previous wrist surgeries
• Specific injury to the wrist requiring stabilization

Preparation

• Fasting may be required prior to the procedure.
• Adjustments to certain medications, particularly blood thinners, may be necessary.
• Pre-operative imaging such as X-rays or MRIs may be needed to plan the surgery.

Procedure Description

1. The patient is given anesthesia, typically general or regional, to ensure comfort.
2. A surgical incision is made at the wrist.
3. The stainless steel component is precisely positioned and secured to the wrist bones.
4. The incision is closed with sutures or surgical staples.
5. A cast or splint is usually applied to immobilize the wrist post-operatively.

Duration

The procedure typically takes about 1-2 hours.

Setting

This surgery is generally performed in a hospital or a specialized surgical center.

Personnel

• Orthopedic surgeon or hand surgeon
• Surgical nurses
• Anesthesiologist

Risks and Complications

• Infection at the surgical site
• Allergic reaction to the stainless steel
• Damage to surrounding nerves or blood vessels
• Stiffness or reduced range of motion
• Need for additional surgery if complications arise

Benefits

• Enhanced stability of the wrist
• Improved range of motion
• Reduction in pain
• Increased functionality and strength

Recovery

• Initial post-operative period requires immobilization of the wrist.
• Physical therapy may be needed to restore function and strength.
• Recovery time varies, usually ranging from several weeks to a few months.
• Follow-up appointments are necessary to monitor healing.

Alternatives

• Conservative treatment options like physical therapy, bracing, or anti-inflammatory medications
• Arthroscopic wrist surgery
• Wrist fusion procedures
• Each alternative has its own set of benefits and risks and may be less invasive or more appropriate depending on the patient's condition.

Patient Experience

Patients may experience pain and swelling in the initial recovery period, managed through prescription pain relief and anti-inflammatory medications. Physical therapy will help regain mobility. Full recovery may take several months, with gradual resumption of daily activities as advised by the healthcare provider.