A procedure to reconstruct damaged wrist ligaments to restore stability and function in the wrist.
Through an open incision, a graft, often taken from a nearby tendon, is used to reconstruct the damaged ligament and restore stability between the affected wrist bones. The procedure typically takes one to two hours and is usually day surgery.
Assessment includes examination of wrist stability and imaging, usually an MRI or wrist arthroscopy, to confirm which ligaments are damaged and plan the reconstruction. Standard preoperative steps apply, including fasting and arranging transport home.
A splint or brace protects the reconstruction for a period after surgery, with physiotherapy introduced progressively as healing allows. Full recovery generally takes several months, with strength and confidence in the wrist continuing to improve over this time.
Rehabilitation begins with protected movement, progressing to active movement and then strengthening as the graft matures and the reconstruction proves stable, with the pace guided by the surgeon and hand therapist.
Risks include infection, graft failure, and, in some cases, residual pain or reduced wrist mobility despite the reconstruction. The general risks of anaesthesia also apply.
The aim is a stable wrist that no longer gives way or clicks with rotational movement or load. Most patients experience good improvement in wrist stability and function, with strength continuing to build over the following months.
Wrist ligament reconstruction rebuilds damaged ligaments using a graft to restore stability, aiming to relieve pain and improve confidence in using the wrist for normal activity. Most patients experience good improvement in stability and function.
