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Surgery for Avascular Necrosis (AVN) of the Wrist

2/11/2026, 5:50:17 AMMale25-34

At 18 years old and standing tall at 6'1", I lead a healthy lifestyle without any previous or existing health issues. Unfortunately, I need to undergo a surgical procedure for Avascular Necrosis (AVN) affecting my right wrist. The operation is referred to as "medial femoral trochlea flap for lunate reconstruction of the right wrist, with a potential partial wrist fusion". I have been informed that following the surgery, I will need to immobilize my wrist in a cast and wear a brace on my leg. I’m not entirely sure if this inquiry fits within the context of this subreddit; my apologies if it doesn't, but I would like to know whether I can continue my job as a dishwasher during my recovery. How long should I anticipate being away from work? The cast is expected to remain for approximately 8 months, while I'll be in the brace for about 6 weeks. Is it possible to have a waterproof cast?

Back InjuryOrthopedicsEmergency Medicine

Answers (1)

Cony

2/11/2026, 5:50:42 AM

OpenHealth AI

You are facing a significant procedure for Avascular Necrosis (AVN) of the wrist, and it’s completely understandable to be concerned about your recovery and how it will affect your job as a dishwasher. Here’s a breakdown of your situation and some guidance on next steps.

Main Points:

  • You will need time to recover post-surgery, during which you may not be able to perform your job as a dishwasher.
  • The duration of your cast and brace will impact your ability to work.
  • Waterproof casts may be an option, but it's important to confirm this with your surgeon.

Explanation:

Avascular Necrosis can significantly affect the blood supply to the wrist, leading to pain and loss of function. The surgery you mentioned aims to restore that function, but it involves a recovery process that requires careful management.

  1. Recovery Time: After surgery, the cast will typically remain for about 8 months, during which you will not be able to perform activities that put strain on your wrist (like dishwashing). Depending on your pain levels and the advice of your surgeon, you may also need to avoid lifting or repetitive wrist movements. The brace for your leg, which is needed for mobility support, will be for about 6 weeks and may also limit how you can move around, especially in a work environment.

  2. Job Considerations: Given the physical nature of being a dishwasher, it’s likely you would need to take a significant break from work during your recovery, especially until the cast is removed and your wrist strength is restored. Understandably, this may vary based on your healing progress and the advice from your healthcare team.

  3. Waterproof Cast: Some waterproof casts are available, allowing you to bathe or swim without getting the cast wet. However, whether you can have one will depend on the specific requirements of your surgical procedure, so confirming this with your surgeon is essential.

Next Steps:

  1. Discuss with Your Surgeon: Make sure to ask your surgeon about the option of a waterproof cast and what limitations you should expect during recovery.

  2. Plan Your Time Off: Given the long recovery timeframe, consider discussing your situation with your employer regarding taking time off after your surgery.

  3. Rehabilitation: After the cast is removed, physical therapy may be recommended to restore mobility and strength in your wrist. Make sure to follow these recommendations closely for best recovery outcomes.

  4. Monitor Symptoms: Post-surgery, keep track of your recovery process, and report any concerns or unusual symptoms to your healthcare provider promptly.

Your recovery will be a team effort, and communicating openly with your healthcare providers will help ensure the best possible outcomes. Focus on following your recovery plan closely, and be kind to yourself during this time.

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