Recovery after Triangular Fibrocartilage Complex (TFCC) surgery involves distinct phases. Understanding these phases helps manage expectations and promote healing. The TFCC is a complex structure of cartilage and ligaments on the pinky-finger side of the wrist, providing stability and cushioning the joint. Surgical repair aims to restore its integrity, often after injury from trauma or repetitive stress.
Immediately After Surgery
Following TFCC surgery, your wrist will be protected by a bulky dressing and a splint or cast. This immobilization lasts 10 to 14 days to safeguard the surgical site and allow initial healing. Pain and swelling are expected in the first 48 to 72 hours, with discomfort decreasing rapidly.
Manage pain with prescribed medications and ice application to reduce swelling and discomfort. Elevate your hand above your heart, especially during the first two to three days, to minimize swelling. While the wrist is immobilized, gently move your fingers and thumb to prevent stiffness and promote circulation.
Navigating the Initial Recovery Period
The initial recovery phase lasts four to eight weeks after surgery. At 10 to 14 days post-operation, the bulky dressing and sutures are removed, and a long arm cast or splint is applied. This cast may extend above the elbow to limit forearm rotation, which is important for protecting the repair.
Strict activity restrictions are common during this time. Avoid heavy lifting and twisting motions with the operative wrist. Wound care involves keeping the cast or splint clean and dry, which may require covering it with a plastic bag during showering. The long arm cast is worn for four to six weeks, followed by a transition to a removable splint or brace.
Rehabilitation and Restoring Function
Rehabilitation begins several weeks after surgery and continues for several months. Physical or occupational therapy plays an important role in regaining wrist strength, flexibility, and overall function. Therapy starts around four to six weeks post-surgery, often coinciding with the transition to a removable brace.
Therapists will guide you through a structured program including range-of-motion exercises for the wrist, forearm, elbow, and shoulder. Initially, these involve gentle movements like wrist flexion and extension, ulnar and radial deviation, and forearm rotation (pronation and supination), progressing from passive to active assisted movements. Strengthening exercises, such as grip strengthening with a tennis ball or light weights, are gradually introduced as healing progresses, around 10 to 12 weeks post-operation. Patience and consistency with prescribed exercises are important for long-term success and returning to daily activities.
Recognizing Potential Issues
While TFCC surgery recovery progresses well, be aware of signs that may indicate a complication. Contact your surgeon or medical team if you experience increasing redness, warmth, or pus-like drainage from incision sites, as these can be signs of infection. A fever greater than 100.4°F (38°C) or chills also warrant immediate medical attention.
Report persistent or worsening severe pain not relieved by prescribed medications. Other concerning symptoms include new or increased numbness or tingling in your fingers, changes in circulation (such as cold or discolored fingers), or unexpected and significant swelling. Prompt communication with your healthcare provider about any unusual symptoms helps address potential issues early.