Wrist Arthritis Surgery
Overview
Wrist arthritis can cause pain, stiffness, reduced grip strength and difficulty with lifting, pushing or weight-bearing. It may develop after previous injury, scaphoid non-union, ligament instability, inflammatory arthritis or wear over time.
Surgery aims to reduce pain while preserving as much useful wrist function as possible. Options include PIN neurectomy, proximal row carpectomy and four corner fusion.
Who may benefit from wrist arthritis surgery?
Patients may benefit when pain remains limiting despite splints, injections, activity modification and hand therapy. The best procedure depends on which joints are worn, wrist alignment, remaining motion, grip needs and patient goals.
What does the procedure involve?
PIN neurectomy divides a small sensory nerve branch to reduce pain in selected patients while preserving wrist motion. Proximal row carpectomy removes the first row of wrist bones and can maintain a functional arc of motion in suitable arthritis patterns. Four corner fusion removes the scaphoid and fuses selected wrist bones to reduce pain while preserving partial motion.
Recovery after wrist arthritis surgery
Recovery depends on the procedure. PIN neurectomy is usually quicker. PRC and four corner fusion require a longer period of protection, with fusion requiring bone healing.
Rehabilitation protocol
You will receive a wrist arthritis protocol matched to the operation performed.
FAQs
Can wrist arthritis be cured?
Surgery cannot restore a normal wrist, but it can reduce pain and improve function.
What is PIN neurectomy?
It is a pain-relieving procedure that targets a small sensory nerve branch at the wrist.
What is the difference between PRC and four corner fusion?
Both treat arthritis while preserving some motion. The choice depends on the arthritis pattern and cartilage remaining.
Will wrist motion be reduced?
Usually yes, but the aim is a more comfortable and useful wrist.
Can arthritis progress after surgery?
It can, depending on the procedure and underlying joint condition.
Book or Refer Today
For painful wrist arthritis, book a consultation to discuss motion-preserving and fusion options.
Reconstructive Orthopaedics Melbourne (ROM)
We restore mobility, reduce pain, and improve quality of life — through reconstructive orthopaedic surgery driven by evidence and advanced biomechanics.