Wrist Fracture Surgery
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- čas přidán 25. 11. 2014
- www.handandwristinstitute.com/... - Dr. Knight looks at various fractures in the wrist and surgery to correct them. He specifically looks at the most common fractures: Distal Radius (Colles) and Scaphoid (Navicular) fractures. He also looks at more rare fractures of the Hamate and Capitate. He shows actual surgery footage of the top daredevil in the world, Red Bull motocross super star Robbie Maddison.
Displaced bones of the wrist almost always require surgical intervention, usually in the form of pins if the displacement is small enough to be put back manually, but often requiring plates and screws to hold the bone in place if the displacement is very great. These plates and screws are generally left in the hand, and do not impede function, but in the case that adhesions develop on the hardware, or if they somehow cause irritation or damage to the nearby tendons, they may be removed at a later date. Surgeries of this type, involving a plate, usually take about 45 minutes, and are done under general anesthetic. After this, a smaller surgery may be required to remove the pins, which is done at a later date.
Scaphoid fractures can be complicated, because the bone itself is not very well connected to the blood vessels of the hand, and so is delicate and susceptible to injury, and bone repair is difficult. Often, if there is enough vasculation in the bone, the scaphoid will heal itself without the need for surgery, but if it does not, then the bone can deteriorate, and must be either repaired removed. IF it is not removed, then a tension screw is used to hold the bone in place as it heals, and this can take five or six weeks.
In a hamate hook fracture, the best course of action is to remove the affected hook entirely, which allows the wrist to then move about freely without irritation.
Post surgery, splinting is the most important part of wrist recovery, and is necessary in all procedures to keep the wrist from moving and upsetting the delicate balance of bone placement for healing purposes. - Jak na to + styl
Thanks for this video. I'm a healthy 63 year old woman who slipped on a wet bathroom floor. Had wrist surgery with metal plate and screws one week ago. Recovery is going well. Luckily I live 2 blocks from a premier hospital with award winning Orthopedic department. Thank you Vancouver General Hospital
I’m a 32 years old dude who just had same wrist surgery with metal plate and screws 3 weeks ago. Trust your recovery process going great.
If you don’t mind, from your experience how many weeks post surgery does one begins physiotherapy session to regain motion/movement in the wrist region?
Also, for how long should one carry the metal plate and screws?
@@harryobi5105 You normally carry plate and screws for life unless infection or problems with it.
How's your wrist, ma'am? Are nails and a metal plate still attached to your hand? What is the recovery rate of your hands? I hope you recover.
@@nadi8985 Everything is great 3 yr later. Metal plate and screws will stay in place. No need to remove. Hand is sometimes a little stiff in the mornings but that's all
@@claudettecote3553thank you very much for the respond.
hi doctor thank you for wonderful experience for sharing with us and I fractured my scpoid in my right rest it's been a year now and still waiting for the surgery do u think I should go for the surgery plz plz reply me back I'm very scared I'm 25 years old thnx
good day sir...I have a concerned in regards if my sister's arm..I don't if it can be heal naturally without surgery. the bone was broken and then the broken bone was placed on beside.
I broke my radius biking and it was bent and my doctor said it will straighten out as I get older because I’m 13 and he said my bones are still growing is that true
Hello Dr. Knight, Other than Colles' fractures associated with sports injuries, would you identify seniors as being at increased risk of developing this type of fracture related to a fall?
how to get swollen out. do many remedy but still more swollen, desperate for help, been to many drs no help
What happens if a surgeon has stuffed up a scaphoid and years later it has left the wrist in the verge of needing to be pinned outright. Is there a better option to recover full use?
Doctor I have met with le ULNA Fracture at Lt hand wrist point what should be the healing techniques or precautions or How could i understand my fracture is reducing or recovering soon
Is a Smith’s fracture (didn’t see it here) the reverse of a Collier’s, or is there also a “reverse Smith’s fracture?”
An extra surgeons joined in just to see mine (years ago) and I just had an external fixator, 3 external pins at the radius and a summer I can barely remember. Highly sensitive nerve spots. I can still play guitar nearly as well, but I can’t hold up a coffee mug.
This patient absolutely did not need surgery. All that metal adds extra stress to the bone after the healing phase and could cause a break in the foreseeable future. The medical industry really likes to push surgery unnecessarily.
Not true. Metal plate and screws speeds up the recovery process and has more predictable outcomes. Closed reduction bones can easily shift
Actually you’re wrong. I had wrist surgery after a bad fracture. I had absolutely no problems. My wrist was good as new within 90 days. Be sure to do physical therapy while still in the cast. I had minimal pain except for two days after surgery.
@@nonenone6899 your plate had removed?
Broke my radial bone in several pieces. A couple weeks in a cast seeing if the bones would align and then opted for surgery. I have a plate and 5 screws. Healing is coming along ok. Cast will be on till early June
getting wrist surgery in a couple days. when did the pain start to kick in after waking up from surgery?
Sir I have ulna la fracture what should I follow precautions for the left wrist hand side fracture now after 42 days cast now I am under wrist brace observation still little bit swelling and pain please help me about what should I do
My head of radius bone is fracture what your treatment Doctar please ans me
I’m 14 and had to get surgery with 2 pins to hold my wrist in place cause it wouldn’t stay and when I broke the radius the bone moved to the left and was hitting my growth plate so had to get surgery the very next day still have no function in my wrist but I have a 100$ string cast thing that I can take off I also didn’t get a plate my surgeon said if she put a plate in I’d lose all movement at age 24 so she put pins I broke my wrist dirt bike I hit a quad and jumped right before I hit so I probably landed on my arm I don’t know I was completely blacked out from this point on
What do you do for a ligament that is torn ?
I'm having cross fracture in right hand radius, what is your opinion?
2 days ago i broke both radius and ulna bones...it hurted
(i was skateboarding)
How long should a patient expect to wait before having surgery on their broken wrist after a car accident? With no other injuries and the patient is a perfect candidate for surgery?
What are u talking about kids not getting sergury bc I’m 13 and 2 years ago I snapped my left wrist and needed sergury and on st Patrick’s day in 2018 I snapped my arm and needed surgery
Is it correct treatment. ?
I think I fractured the scaphoid in my case it really sucks because it put me out of work and working out which I love to do. :-(
My wrist bone is broken ..How much time it take to heal
Hello Dr. John. I had a surgery on my wrist while l was overseas about 10 years ago where my orthopedic surgeon had to do bone graft to replace some of the bone lost on my radius, and l do have a plate with screws.
My question; do l need to remove the plate, and the screws considering that l had my surgery almost 10 years ago? Thanks.
How feel?
Falling on street and breaking my left wrist I had urgent distal radius surgery with metal plate
and 9 screws in August 2019. Now my wrist is still painful, swollen, my fingers numbed, it is irritating,
very uncomfortable. I need urgent surgery to remove the metal plate + the screws and I can’t find
understanding for that. Actually, this surgery is a deliberate attempt for torture?
Please, intervene for me to have the removal surgery performed urgently in good conditions (Sydney July 2020).
I have the removal surgery in November 2020 at RPA Hospital Camperdown, ending 16 months of torture.
Many thanks to all who helped me.
dr. knight i broke both my wrists/hands in a motorcycle wreck 3 yrs ago, they were never reset...no casr nothing...they are pretty deformed from this and hurt steady, sometimes more than others...i also have nerve and/or ligament/tendon damage...i waited approx. 30 hrs. before going to hospital after wreck and bc of this they did nothing...i never went back....can you help severe messes like mine?
Lawabiding Citizen happened to me dont wprry i got used to it its no big deal no btw i got this on a skateboard same thing visits the dr once and the did fix it kinda they fucking pull my hand and uh its not a good feeling for a fractured bone right the fix it but one of my bones are an asshole and wanna chill not that far but not in his position
thank you so much for this video! I broke my radius playing tennis on Oct. 23. it apparently realined but it hurts so much, today very bad! I get my cast off Monday but it still feels like its burning and at times numb. I am 63 and have bad depression over all this. I broke my wrist, sprained my ankle and got a huge bump on my head and honestly don't feel like I will ever be the same!
I broke my radius and collarbone 7 weeks ago. The worst of my symptoms is my anxiety and depression that I'll never be 100% again. I understand what you're going through.
wondering how you are doing today, six years later?
@@boristhespider4879 same , but I think hopefully it got better … I mean things could always be a lot worse and thinking negative won’t help
@@boristhespider4879 I always like follow ups years later I’m only on 2nd day of having wrist surgery broke both of the wrist bones luckily I’m right handed.
Falling on street and breaking my wrist I had urgent distal radius surgery with metal plate
in August 2019. Now my wrist is still painful and swollen, irritating, very uncomfortable and
I need urgent surgery to remove the metal plate (March 2020).
Hey! How is your wrist now?
After how many months can I go fro gym after fracture? Please reply sir
4 days
hello sir
i broke my radius and ulna before six moths ago and did surgery but i am concern about a matter that ,,,, will i be able to do gymnastic or gym again after recover my bone >>???
brayan adam yes you will. I broke both in half and got two titanium plates in august. I just this week am getting back into tumbling and it's 100% possible
dr knight is the wrist fracture surgery is done as outpatient surgery case at the surgical center or this must be done at the hospital surigal suite in this case yes or no
Maybe
Hi sir I want one suggestion from you
Thank you for this video very informative!!
That’s so weird! I tripped cutting through a neighbors yard. Palm down and I didn’t feel anything!
Now after the plate and screws surgery, I’m in extreme pain 🥺
:(
What do you do when your wrist still hurts after you have titanium
Wow this is exactly my break, I was snowboarding and had a distal radius fracture with deformity and had it reduced twice, after 3 and a half weeks I ended up needing surgery with a plate and screws, that was today and it’s definitely not a good time
I'm about to have surgery myself. Can you give me some insight on your experience?
@@justincampos9206 it’s really not that bad, anxiety can be high before you go in but once you get sedated you’ll just wake up like you had a nap and it’ll be done, recovery process can be tedious and first week or so is painful but you should get meds for that. The big thing is with being in a cast so long you’ll have to work hard to get full mobility from the tendons surrounding the joint. All comes with time though
@@BoostedFB6 Thanks. Surgery in 3 days so trying to kill the fear with knowledge of the process :) Good luck with your recovery.
@@BoostedFB6 when do one start a physiotherapy process after a wrist plate surgery?
@@harryobi5105 after you have the stitches removed and are done with the wrist brace the doctor should let you know that you’re ok to start moving it and trying to do new things, start with small stretches and activities and work your way up. You probably won’t need legitimate physio therapy from a facility unless you have issues with it in the future, I just kept active, worked my ligaments and tendons back to almost full range of motion over time and it just gets better on its own. Hope this helps!
Also if you have issues with low range of motion from locked tendons I suggest filling a bathtub with as hot of water as you can handle and putting your wrist in there to try and stretch it a bit. That can also help loosen stuff up
What happens if you have a distal radius fracture and the doctor recommends surgery and you decline it? Can they put it in place?
How well did you heal? I'm battling the same decision now
They can put in place and you will have plaster cast but there is slightly higher risk of arthritis
I think my wrist is broken because I have been getting a lot of pain and it has been swollen and my mother said that she won't take me to the hospital unless I lose weight
When he shows how you break it that's what happend to me I have the same symptoms and when he shows the diagram of the actual break I have the same bump where my radius is but it's not as severe my family think I'm over reacting and won't take me to the doctor but its just getting worse
Omg you have to go!! It won’t heal right if you dont
You need to take charge of your own health and go. Ignore the family.
hi good day sir i have question ?,
is it possible to re align the fracture wrist for more than a years ? please answer my qustion thanks ..
francis zeidreff yes.. we have to cut the whole arms.. 😊
so we don't use gloves when performing surgery?
Hi John,I had a severly comminuted distal radius fracture [7 pieces] and the doctors set it and left it in a cast for six weeks,with out any surgery.It,s been 18 months now and I still only have about 50% range of motion.I believe it should have been repaired surgically but the doctors lacked the expertise to tackle such a bad fracture. If you don,t mind me asking how do you normally treat severe fractures and do you generally get a decent result? Thanks for your time and very good video.
hockleyrambler Check out this technology. I worked for Materialise and we were about to help patients like you with malunion's of the distal radius.
ortho.materialise.com/cases/reducing-guess-work-patient-specific-guides
hockleyrambler
This case also. ortho.materialise.com/cases/complex-intra-articular-osteotomy-simplified-conventional-fracture
Justin Steele Thank you,I,m checking it out.
Hi. I broke my radius and ulnar in my left wrist Christmas 2016. Had it reset 3 times with no operation. Plaster on for 7 weeks with my hand in a bent forward position. Since having the plaster removed I have had physio followed by intense physio. I still only have jest 10/20 percent of movement in my wrist. I went into hospital yesterday for wrist manipulation which is not normally known. I still have the same movement 10/20 percent along with a lot of pain right now.. I have now been told there is nothing else they can do as my x rays and MRI scans are not showing why there is not movement. I have also had a meeting with top 4 surgeons in Gwent and have been told its a mystery.. Any ideas?? I am left handed and this is a nightmare come true 😭😭😭😭
Luanna Price I’m so sorry to read you are going through this. How are you feeling now? I’m going through the same issue and I’m very depressed about it.
Hope it got better time is sometimes a healer I’ve only just had surgery today 2 metal plates.
@@carlcroucher2964how is your wrist status?
thx for info very good
Hi my name is Allison and my wrist is broken on the opposite side apparently it is sideways the bone healed with that the bone that sits on top is now on the side and it hurts really bad and I've been trying to get it fixed what can I do
I really need a surgeon that can fix my break because it was only March when it happened hopefully I can get it fixed it's now November and it seems like I'm having a hard time I need somebody that will do the surgery and I just want to know what kind of surgery it is for that side of the wrist
wow..great video..
I have a broken arm
Thanks
I do all of these in an out patient surgery facility.
Hey John I broke my wrist similar to this first I put the cast but It id did not heal, the bone slid back I put pins on it and I don’t know if it’s healing properly. My question. Is that if there is a chance that I’m gonna put a plate in it I broke my ulna
Hi,hope all's well(considering everything)I would like to know if a broken wrist that has been detached &in cast for about 3mths now can heal naturally?(the patient is15).
An strange Day you need some proper surgeons
Hello john my right ulna or radius bond is broke when i was 12-14 years old now i am 21 years old my right arm is not straight like my left arm can a surgery make straight as my left arm please help
Nice
This happened to me 2 weeks ago. Had to get the titanium plate inserted. Fingers still numb sometimes.
Hello how are u ?...are you wearing a cast ?
@@crazybyte3005 I have an arm brace that I can take-off. I sleep with it off. It gets really sweaty. You have a cast?
@@Sandler23 actually I have wrist surgery next week,I dont like to wear plaster cast after surgery..I want to buy a brace or splint..
@@Sandler23 please help me
did you get a breathing tube for surgery
is this local,where is the outpatient location?
erik busan In Los Angeles
Why you don't have gloves on during surgery?
Because they wash hand....silly guy
For 11 years I fell and broke Radius and Ulna. I took time before it was okey since they didn't pull Ulna in place before cast. They had to do the cast several time because I was blue in the thumb etc. Ulna become 30 degrees from the original position. Now 11 years later I broke triquetrum, they didn't do a cast. After 5 weeks I can use a keyboard but not hold heavy things. I hope I will not get any more pain then before the last accident. I can almost do any movement, but with pain.
How are you now? Did you get nice results bro
I am having my wrist broken and I have got a closed reduction surgery and I just got a wire in my hand..
did it hurt, i’m having that soon
The video has playing is exactly what happened to my right wrist I was 13 in a half years so they were correct to pop it back in place
I just broke my wrist I won’t need to get a pin or something right?
My wrist is broken I got s surgery and wearing a cast I want to if My wrist will be completely fine
How is your wrist going now, it has been 7 months since you wrote this?
How is your wrist
Man for a second I thought u were performing surgery with no gloves on 😂😂😂
If I find the plate on my radius very uncomfortable, can I ask my surgeon about removing it later?
Sure
I very much doubt you will notice I’ve just had mine fitted today on my wrist but had a broken jaw 13 years metal plate don’t notice it they generally don’t remove unless there’s infection or reaction to it.
@@carlcroucher2964 It severely restricted my range of motion. I had it removed, and it's doing much better now.
I had a bad break when I was 14. I'm now 36 and I refused a closed reduction due to fear. Now 22 years later I'm getting bad arthritis. Scared to have it checked out as after 22 years I'd require plates & screws. I wish I had a surgeon I could get to know. In the UK it'd be just who was assigned that day.
what happened?
@@boristhespider4879 Mountain biking with a friend. We both did the same jump at the same time. We collided and his wheel landed on my wrist as I put my arm out to stop my fall.
Aches now whenever it's cold.
@@nuggythebear Have you gone back for an evaluation recently, as you said it hurts still? I just had surgery on Dec 3rd, 2021. I had broken my wrist in a few choice spots so it was a relatively difficult procedure, I was told. They put a bar in my arm from the middle of my forearm to right up under my index finger. That has to be removed soon. Not looking forward to another surgery but it wasn't so bad. the first time.
I'm in NJ and it's kinda the same deal here with doctors, when in the emergency room I was assigned a surgeon to go see the next day. It's the luck of the draw, I guess, who they send you to or who they refer initially if that surgeon is affiliated with hat hospital, etc. I got lucky , the surgeon I met was a top surgeon in the field and had some renown as a surgeon and a Lt Col in the Air Force, very nice, reassuring and smart guy. I can go see someone else, though, If I want a second opinion, whereas I think you guys can't do that?
@@boristhespider4879 I could go to the doctors and say it's disrupting my daily life. They'd send me to hospital then and probably do it, but it's only every now and then that it hurts and it's not like I do pushups lol. I'm very scared about the idea of general anaesthesia too.
Glad you got yours sorted. You're braver than me.
@@nuggythebear Dude, I'm totally not braver than you or anyone , lol. I had no choice. It was either surgery or pretty much be one-handed forever, and I kinda suck but I love playing guitar. I was scared shitless of surgery and I'm no wilting flower. Turns out everything everyone said to me was true, you close your eyes for a second, breathe deep and next thing you know you're waking up and it's all over. Piece of cake. Good luck with yours, yo. I know it sucks.
i have this after my birthday
Mine a week before my bday
I broke my radius and ulna both all the way through the skin this is nothing
Hockey everything CZcams yeah me too I wish mine was just a fracture
I remember breaking my wrist once in a bout of impulsiveness by trying to do a leap of faith out my bedroom window when I was about 14, it was not fun, never done anything like that since
Think recovery a lot better at that age because bones are still growing.
After a left hand wrist surgery ,left hand is not growing like right hand,
Is it any solutions for left hand also grow like right hand?
look at tha flick o' da wrist
lol
walking into a storage shed door hitting my head i went down abs turned to fall backward and ended up backwards in the ditch drive drainage broken wrist. she said it may not need surgery. we were in trouble with medicaid so we didnt go to the er and dr said whyd we go there to them the last time too and we didnt go to the dr but waited nearly 2 weeks to see the orthopedic dr. medicaid denied claims n threatened to cut off our insurance so we are scared to go to the er. it probably just made it worse by not going but cheaper or maybe not for medicaid
this is exactly what has happened to me from snowboarding!
Bro how’s ur wrist now an how long did it take for it to heal fully I just broke mine
@@Deepak-jx1cy me a month now I'm scared to hurt it I fractured it last year
Me too getting surgery Monday
Are they going to drill it?
I dislocated my radius in both my wrist, had to have surgery.
How are you now
This is what I learned at work
I just had surgery 3 days ago
I broke both of that bones (radius and ulna) when i was a kid. Still hurts till this day when I'm doing something physical.😐
Hello...
Did your fingers stay swollen for a while?
It's been 3 weeks since my surgery..
Pray for me ,i have recently broken my wrist badly
It's same my hand fachar
I snapped my growth plate
Lol destroyed my wrist and they put it back while I was awake 😀😭
You get surgery on wrist yeah, I’m getting some bone taken from my hip and put into my wrist. How was it?
Fucking insane technology..i wish i could b doctar there too😞😞😞
Who’s here after melo got injured
I shattered my wrist in 2005 on ice in London my operation only needed it to be pinned. 🇬🇧
Fuck dis happend to me but I need surgery now to but it back but it’s going tut a screw I. Dead bro I’m 10
How is your wrist now bro
Damn that sucks. Having a surgery at such a young age aint good. It must have been really serious since they usually just pop the bone back in and put your wrist in a cast for kids. Anyways hope you are doing better and have had a full recovery. Be sure to be careful from now! 😄
@@i_amverified so that's mean you didn't get your range of motion back? I'm 2 months post surgery and im around 90%
@@wagdiwagdi8168 it’s good with me
Bruh į just broke my hand likę that
I broke my wrist from when i was exercising my right arm 😏
How well did you heal? I'm battling the decision of surgery
@@wbgarywp healed alright you should go for it friend
@@phillipjacobs9982 so you did get the surgery?
A few years ago, I had surgery on my right wrist because I was hit by a car.
How you feel now