Post-Operative Concerns After Radial-Ulnar Joint Reconstruction

I would like to inquire about issues following radial-ulnar joint reconstruction?

Hello, doctor.
A few years ago, I injured my left hand, resulting in a radial and ulnar dislocation.
I have undergone joint reconstruction, but I still feel stiffness and discomfort, especially when the weather changes.
The doctor mentioned that I have post-traumatic arthritis and there are holes from the bone screws.
How many months after the removal of the bone screws will the holes be filled with bone? Also, is pain relief medication the only treatment for post-traumatic arthritis, or are there other treatment options available? Thank you, doctor.

Shu Wei, 20~29 year old female. Ask Date: 2016/08/11

Dr. Shi Guozheng reply Orthopedics

Nail fear may take about six months to fully develop.
Traumatic arthritis can only be treated with medication and rehabilitation therapy.
If there is still no improvement, surgical intervention may be necessary.

Reply Date: 2016/08/11

More Info

Post-operative concerns after radial-ulnar joint reconstruction can be quite complex, especially when dealing with issues like stiffness, pain, and the presence of hardware such as bone screws. Based on your description, it seems you are experiencing some common post-surgical complications, including stiffness and traumatic arthritis, which can occur after significant joint injuries and reconstructions.

Firstly, regarding the healing of the bone screw holes, it typically takes about 6 to 12 weeks for bone to heal sufficiently after the removal of screws, but this can vary based on individual factors such as age, overall health, and the specific nature of the injury. After the screws are removed, the bone should gradually fill in the holes left behind, but complete remodeling can take several months. It's important to follow your surgeon's advice regarding post-operative care and rehabilitation to ensure optimal healing.

As for the traumatic arthritis you mentioned, this condition arises from joint injury and can lead to chronic pain and stiffness. While pain relief medications such as NSAIDs (non-steroidal anti-inflammatory drugs) can help manage symptoms, they do not address the underlying joint damage. Other treatment options may include:
1. Physical Therapy: Engaging in a structured rehabilitation program can help improve range of motion, strength, and function in the affected joint. A physical therapist can design a program tailored to your specific needs, focusing on exercises that promote flexibility and strength without overloading the joint.

2. Injections: Corticosteroid injections can provide temporary relief from inflammation and pain in the joint. Hyaluronic acid injections are another option that may help lubricate the joint and improve mobility.

3. Activity Modification: Avoiding activities that exacerbate pain or stiffness can be crucial. This may involve modifying how you perform daily tasks or avoiding certain movements that put stress on the joint.

4. Assistive Devices: Depending on the severity of your symptoms, using splints or braces may help stabilize the joint and reduce discomfort during activities.

5. Surgical Options: If conservative treatments fail to provide relief, surgical options may be considered. This could include procedures to clean out the joint (arthroscopy) or, in more severe cases, joint replacement.

6. Alternative Therapies: Some patients find relief through alternative therapies such as acupuncture, massage, or chiropractic care. While these methods may not work for everyone, they can be part of a comprehensive pain management strategy.

It's essential to have an open dialogue with your healthcare provider about your symptoms and treatment options. They can help you navigate the best course of action based on your specific situation and the severity of your arthritis. Regular follow-ups will also allow for adjustments in your treatment plan as needed.

In summary, while the presence of traumatic arthritis and the healing of bone screw holes can be concerning, there are multiple avenues for treatment and management. Engaging in physical therapy, considering injections, and discussing surgical options with your surgeon can all contribute to improving your joint function and quality of life. Always consult with your healthcare provider before making any changes to your treatment plan.

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