Carpometacarpal joint arthroplasty thumb
Application of the DASH questionnaire to assess quality of life; Measurement of the range of motion of the affected and unaffected thumbs with a specific goniometer. Measurement of the proximal phalanx is used as a reference measurement. In this simple, somewhat controversial procedure, surgeons remove the trapezium bone in the wrist and, with a wire, temporarily immobilize the thumb. The allograft cartilage was stabilized by the flexor carpi radialis FCR tendon through the trapezium, allograft cartilage, and base of the thumb metacarpal. Contacts and Locations.
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Experts explain five surgical treatment options for thumb arthritis.
CMC Arthroplasty for Basal Joint Arthritis
The branches of the superficial radial nerve and deep branch of the radial artery are identified and protected Fig. Cons: Removal of the trapezium has been known to come with significant complications, including loss of pinch strength and thumb shortening. Only one patient demonstrated radiographic evidence of STT arthritis at the follow-up examination. The arthritic hand; pp. When non-surgical treatments no longer provide relief, surgery may be recommended.
Basal Joint Arthritis: Evaluation, Treatment, and Postop Expectations - Department of Surgery
These patients presented a good clinical outcome. Basal joint arthritis is commonly caused by inflammation in the lining of the joint, which in addition to pain, may result in stiffness, swelling and loss of movement in the thumb area. The donors are screened for infectious, malignant, neurologic, and autoimmune disease and other exposures or habits that might result in unsatisfactory tissue. Surgical Technique The surgery is performed using a curvilinear incision along the base of the thumb. A variety of surgical procedures have been developed for the treatment of basal joint osteoarthritis of the thumb. Currently, numerous partial or complete prostheses are being developed and improved to maintain axial length of the first ray of the hand, shorten postoperative recovery time, 2 and allow for a total recovery of pinch strength. Recent studies however, have demonstrated problems due to a foreign body reaction with the Artelon implant requiring revision surgery.
Furthermore, pyrocarbon has excellent biocompatibility. Arthroplasty of the basal joint of the thumb: long-term follow-up after ligament reconstruction with tendon interposition. Staging as a rationale for treatment. Allograft Meniscal Arthroplasty for the Treatment of Basal Joint Arthritis of the Thumb The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. There were no significant differences between the patients included in the study and patients who were excluded or lost to follow-up evaluation with respect to age, gender, hand dominance, and radiographic parameters. Once the cast is removed, physical therapy may be recommended to help regain hand strength and a full range of movement.