Is CMC arthroplasty a joint replacement?
CMC joint arthroplasty is a surgical procedure used to replace the trapezium bone of the thumb joint with a tendon graft, or a silicone or metal implant to treat carpometacarpal joint osteoarthritis after conservative treatments fail to relieve symptoms.
How is CMC surgery done?
During the procedure, a small incision (approximately 1.5 inches) is made over the CMC joint, and the trapezium wrist bone is removed. A small incision is then made in the forearm to release a wrist flexor tendon.
When can I go back to work after CMC surgery?
Patients with sedentary jobs may be able to return as early as one week after surgery.
Is CMC surgery successful?
Though the surgery is successful in stabilizing the thumb, it is followed by a minimum six-month recovery time before the patient regains their strength and grasp, Ruch says. With fiberwire ligament reconstruction, recovery time is shortened to three months.
What is the best thumb surgery?
The most reliable and successful surgical option for thumb basal joint arthritis has been given several names, the most common being “suspensionplasty” or LRTI (ligament reconstruction and tendon interposition).
Is thumb joint arthroplasty painful?
Following surgery, the thumb is padded and a splint is applied to promote healing. You may experience some discomfort and swelling. Your doctor will recommend some pain medication to help. Keeping the hand elevated above your heart can also help relieve the symptoms.
How long does a thumb arthroplasty last?
The ligament reconstruction-tendon interposition arthroplasty provided a stable and functional reconstruction of the thumb, resulting in excellent relief of pain and a significant increase in strength for as long as eleven years after the procedure.
Is thumb arthroplasty successful?
Pros: Removing the entire trapezium eliminates the possibility of arthritis returning and, according to Dr. Ruch, LRTI has a 96 percent success rate. “Most patients achieve complete pain relief and mobility equal to that of a healthy thumb, with results lasting at least 15 to 20 years,” he says.
Why can’t I make a fist after hand surgery?
A bad injury or major surgery will make your hand stiff. It usually takes about 6 months to really loosen up scar tissue. Do NOT expect your hand to be “normal” after a bad injury or major surgery.