This is probably the most common hand condition that we see in our clinics, yet still remains controversial. At present the Scottish Government is auditing the management of this condition in all hospitals in Scotland.
The purpose of this section is to provide information on newer techniques and updates on hand and wrist surgery. If there is any area which is not covered please get in touch and we shall try and help.
Distal Radio-Ulna Joint Replacement
An area often forgotten about is the distal radio-ulna joint. Tradionally the distal ulna was excised (Darrach’s Procedure) if troublesome, either from arthritis at the DRUJ or from abutment into the lunate.
There is no fixed angle of contracture where we decide to operate. The main advice we can give is – when the patient finds the contracture interferes with activities of daily living or hobbies.
Total Wrist Arthroplasty
Ideal patients would be those who are low demand due to systemic conditions such as rheumatoid disease, or those over 65 who have retired.
Trapeziectomy / Basal thumb arthritis
Trapezectomy has now become more of a popularised procedure for basal thumb OA.
Small Joint Replacements
This procedure has been performed for over 25 years, but originally with the silicone Swanson Replacements. Pain relief has always been good, but function and movement have been disappointing.