What Is Joint Replacement in the Hand or Wrist?
Joint replacement, also known as arthroplasty, is a surgical procedure in which a damaged or arthritic joint is replaced with an artificial implant. While most people associate joint replacements with hips or knees, joint replacement can also be used in the fingers, knuckles, and wrist to relieve pain and restore movement when arthritis or trauma severely damages these joints.
At Paramus Hand Surgery, Dr. Steven Ugras offers joint replacement surgery for patients with debilitating pain and limited mobility caused by arthritis, injury, or joint deterioration.
What Conditions Lead to Joint Replacement in the Hand or Wrist?
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Osteoarthritis: Wear-and-tear arthritis that causes cartilage breakdown
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Rheumatoid arthritis: An autoimmune condition that damages joint linings
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Post-traumatic arthritis: Arthritis that develops after a fracture or ligament injury
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Joint deformities or instability due to chronic conditions or injuries
Symptoms That May Indicate the Need for Joint Replacement
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Chronic joint pain that limits daily function
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Stiffness and loss of motion that does not improve with therapy or medications
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Swelling or deformity of the fingers or wrist
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Grinding or catching sensation in the joint
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Difficulty performing simple tasks like writing, buttoning a shirt, or gripping objects
How Is a Hand or Wrist Joint Replacement Diagnosed?
Dr. Ugras will perform a full examination and review of your medical history. Diagnostic testing may include:
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X-rays to assess joint space and bone damage
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MRI or CT scans for a detailed view of surrounding soft tissue
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Review of previous treatments such as therapy, bracing, or injections
Joint replacement is considered after conservative treatments have failed to relieve symptoms or maintain function.
Joint Replacement Surgery Options
Non-Surgical Management (Before Surgery):
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Anti-inflammatory medications
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Corticosteroid injections
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Splinting or bracing
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Occupational therapy
If symptoms persist, surgery becomes a viable option.
Surgical Options Include:
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Finger joint replacement (PIP or MCP joints): Used to treat arthritis in the knuckles or middle joints of the fingers
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Wrist joint replacement: Used for advanced wrist arthritis
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Joint fusion (arthrodesis): In some cases, fusion may be preferred to eliminate pain by preventing movement
Procedure Details:
Joint replacement is typically an outpatient surgery. Implants may be made of silicone, metal, or pyrocarbon, and are chosen based on your anatomy and activity level.
What Is Recovery Like After Joint Replacement?
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Immobilization in a splint or cast for a few weeks
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Followed by hand therapy to restore motion, strength, and coordination
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Most patients regain functional use within 2 to 3 months, although full recovery may take longer
Dr. Ugras will tailor your recovery plan and monitor your progress closely.
How Common Is Hand and Wrist Joint Replacement?
Finger joint replacements are performed less frequently than hip or knee replacements but are highly effective in patients with disabling hand arthritis. Wrist replacements are also increasing in popularity as implant technology improves.
Ideal candidates are often individuals with rheumatoid arthritis or post-traumatic arthritis who want to reduce pain and maintain motion.
Frequently Asked Questions
Q: Will I be able to move my joint after surgery?
A: Yes. The goal is to restore as much movement and function as possible. Most patients experience significant pain relief and improved mobility.
Q: How long do hand or wrist implants last?
A: Implants can last 10–15 years or longer, depending on activity level, implant type, and condition of surrounding tissues.
Q: Are there alternatives to joint replacement?
A: Yes. Non-surgical treatments and joint fusion may be options depending on your symptoms and lifestyle. Dr. Ugras will help determine the best course of action for you.
Joint Replacement Care in Bergen County, NJ
If you’re struggling with arthritis or joint pain in your hand or wrist that hasn’t improved with conservative care, joint replacement may be the solution.
Paramus Hand Surgery serves patients from Paramus, Ridgewood, Hackensack, and throughout Bergen County with expert joint reconstruction and personalized surgical care.
Call today to schedule a consultation with Dr. Steven Ugras, a skilled hand surgeon experienced in joint replacement surgery.