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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Did Brunelli Procedure. Is There A Chance To Develop Arthritis In Future?

I am a 42 year old female who has been scheduled to have a brunelli s- l procedure. unfortunately I don t know how I suffered this injury or when it happened. I believe I have a 3.5 mm gap and scapho climate instability and will likely develop arthritis in the future. I am concerned about the procedure and the risks involved and don t know much about it. can you explain a bit clearer?
Tue, 31 Dec 2013
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Orthopaedic Surgeon 's  Response
Hi there
The Brunelli Procedure is a surgical procedure that can be used to correct instability in the wrist. Instability in the wrist can be caused by a torn Scapholunate ligament. The Brunelli Procedure does not fix the torn ligament. A hole is drilled through the Scaphoid bone and a part of a tendon taken from the patient is put through this hole and attached to the nearby bones. The procedure usually results in reduced movement of the wrist.
Let me just add that if you don't get the procedure done then the chances of getting arthritis is much more than if you get it done.
Hnce I think that you should go for it to avoid future complications.
Good luck
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Orthopaedic Surgeon Dr. Vaibhav Gandhi's  Response
Hello

Brunellis procedure is to avoid arthritis due to scapholunate instability so it will improve stability and will prevent arthritis.

Physiotherapy with ultrasound and Tens will help you,
For early healing you can take Tab celin [vit C] and antioxidant with anti-inflammatory [Tab enzomac plus ].

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care
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Did Brunelli Procedure. Is There A Chance To Develop Arthritis In Future?

Hi there The Brunelli Procedure is a surgical procedure that can be used to correct instability in the wrist. Instability in the wrist can be caused by a torn Scapholunate ligament. The Brunelli Procedure does not fix the torn ligament. A hole is drilled through the Scaphoid bone and a part of a tendon taken from the patient is put through this hole and attached to the nearby bones. The procedure usually results in reduced movement of the wrist. Let me just add that if you don t get the procedure done then the chances of getting arthritis is much more than if you get it done. Hnce I think that you should go for it to avoid future complications. Good luck