Wrist Replacement Surgery in Duluth, Dawsonville, and Braselton, Georgia
Understanding the Wrist Joint
The wrist is a complex joint formed by eight small carpal bones arranged in two rows, connected to the two forearm bones, the radius and ulna, and the five metacarpal bones of the hand. Each of these wrist bones is covered with an elastic tissue called cartilage. This smooth surface allows normal wrist motion and pain-free movement during everyday activities. When cartilage wears down from injury or arthritis, the wrist may become stiff and painful.
What Causes Wrist Arthritis Pain?
The wrist joint can be affected by several conditions, including degenerative joint disease, rheumatoid arthritis, or post-traumatic arthritis after a fracture or injury. As articular cartilage breaks down, the bones begin to rub together, leading to wrist pain, swelling, loss of range of motion, and deformity. Over time, even simple activities like writing or lifting objects can become difficult.
Diagnosis and Evaluation
Dr. Thomas Neustein carefully evaluates each patient’s wrist injury or arthritis using a detailed history, examination, and imaging. X-rays identify loss of joint space and bone changes in the radiocarpal joint or distal radioulnar joint. For inflammatory causes such as rheumatoid arthritis, blood tests may confirm the diagnosis.
Non-Surgical Treatment Options
Early stages of wrist arthritis are often managed without surgery. Treatment may include:
- Activity modification and splinting to reduce strain
- Non-steroidal anti-inflammatory drugs (NSAIDs) or steroid injections for pain relief
- Physical or occupational therapy to maintain flexibility and strength
If these measures fail to relieve pain and restore function, surgical treatment may be the best next step.
Total Wrist Replacement Surgery (Total Wrist Arthroplasty)
A total wrist replacement—also called total wrist arthroplasty—is a form of joint replacement surgery designed to restore movement and reduce pain for patients with severe arthritis. The damaged wrist surfaces are replaced with two metal components and a high-quality plastic spacer that work together to recreate a healthy wrist joint.
The Surgical Procedure
During the operation, an incision is made over the back of the wrist. The worn portions of the radius bone and carpal bones are removed. The radial component of the prosthesis is placed into the radius, while the carpal component is anchored into the remaining carpal or metacarpal bones. Bone cement may be used to secure the implant. After confirming smooth wrist movement and joint stability, the incision is closed and dressed.
Recovery and Physical Therapy
Following replacement surgery, the wrist is immobilized in a splint or cast for several weeks. Patients begin hand therapy once the incision has healed to regain motion and strength. Most individuals experience excellent pain relief and improved wrist mobility within a few months. The average total wrist replacement lasts 10–15 years when properly cared for.
Partial Wrist Replacement (Arthrosurface Wrist Resurfacing)
For patients with localized damage or post-traumatic arthritis, a partial wrist replacement may be recommended. Using an Arthrosurface wrist implant, this procedure resurfaces only the damaged cartilage instead of replacing the entire joint. It preserves the surrounding healthy bone and ligaments, allowing for more normal wrist motion and faster recovery.
Benefits of Arthrosurface Wrist Resurfacing
- Maintains more of the natural joint motion
- Provides lasting pain relief while preserving strength
- Ideal for younger or active patients seeking a wrist fusion alternative
- Shorter rehabilitation compared with a total replacement
Patients who undergo Arthrosurface partial wrist replacement typically return to light activities sooner and maintain greater flexibility.
Risks and Complications
Like any surgical procedure, wrist replacement surgery carries potential risks, including infection, nerve or blood vessel injury, implant loosening, or stiffness. These complications are rare, and Dr. Neustein takes every precaution to ensure safe outcomes and long-term success.
Life After Wrist Replacement
Most patients regain a normal wrist range of motion, improved strength, and the ability to perform daily tasks without discomfort. Activities that place heavy stress on the wrist should be limited to prevent premature wear of the implant. Continued physical therapy and periodic check-ups help protect the new joint for years to come.
Why Choose Dr. Thomas Neustein
Dr. Thomas Neustein is a board-certified orthopedic hand and upper extremity surgeon who specializes in wrist arthroplasty, Arthrosurface wrist resurfacing, and motion-preserving wrist reconstruction. With advanced training and extensive experience, he provides individualized care that restores comfort, mobility, and confidence to patients across North Georgia.
Schedule Your Consultation
If wrist arthritis or injury is limiting your daily activities, schedule an appointment with Dr. Thomas Neustein to discuss total wrist replacement or partial wrist resurfacing. Relief from chronic wrist pain and stiffness may be closer than you think.
