I am sure that his Doctor took into consideration the etiology of his pain, and utilized a surgical option that he/she was familiar with. This is a well known option, but does mean, potentially, that there may be some activity limitations.
This, all too often, is the reality after wrist surgery---just like after low back surgery. You and your brother should remain patient and optimistic. And, if some "adaptation" is needed down the road, embrace the fact that his wrist was limiting him, and that this may have been among the best possible solutions.
Best of luck!
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