The risk of complication following wrist replacements is higher than that after total wrist arthrodesis. • You will be seen in hand therapy 1-2 times each week. Intercarpal, or Carpometacarpal Joints is an elective procedure that is done to relieve pain and restore function to the joint after damage by arthritis or some other type of trauma. DURING BASAL THUMB CMC JOINT ARTHROPLASTY SURGERY - WHAT IS DONE: The pain at the base of your thumb is relieved by removing the arthritic joints. Arthritis at the CMC joint may cause changes in the shape of the joint and weakening of its ligamentous supports as well as the formation of bone spurs. On 10/26/12, I had a CMC joint arthroplasty with a tendon transfer. Lawrence, KS 66049, 325 Maine Street, Lawrence, Kansas 66044 (785) 505-5000. Thumb arthritis is common with aging and occurs when cartilage wears away from the ends of the bones that form the joint at the base of your thumb — also known as the carpometacarpal (CMC) joint.Thumb arthritis can cause severe pain, swelling, and decreased strength and range of motion, making it difficult to do simple tasks, such as turning doorknobs and opening jars. LRTI also noticeably shortens the thumb. o You should not return to work or the office or attend meetings on the same day of your surgery. After these first few days, continue to elevate as needed in order to reduce swelling and pain. At this time you will also receive a home exercise program. If you do not have a postoperative appointment set-up already, please call the office to schedule an appointment for 7-10 days after surgery at (785)843-9125. Directions provided by Lawrence Surgery Center in regards to consumption prior to surgery may differ, follow directions provided to your personally. During the procedure, a small incision (approximately 1.5 inches) is made over the CMC joint, and the trapezium wrist bone is removed. Anesthesia can sometimes cause complications if they react with other medications the patient is taking, according to Eorthopod.com. Hand and wrist surgery. Superficial infections are common (5%) after hand surgery and cause redness, swelling, pain and pus around the stitches. The soft tissue forms a false jointthat keeps the thumb somewhat mobile and stops pain by preventing the joint surfaces from rubbing together… Conclusion The newer fourth-generation wrist implants appear to be performing better than earlier designs. 3. My range of motion and hand strength is great but there is still a burning pain after I use my hand a lot. Thumb arthritis is common with aging and occurs when cartilage wears away from the ends of the bones that form the joint at the base of your thumb — also known as the carpometacarpal (CMC) joint. The goal of the 90-minute excision arthroplasty procedure is to ease the pain where those two joint surfaces now rub together. Trends in the utilization of total wrist arthroplasty versus wrist fusion for treatment of advanced wrist arthritis. Decrease swelling, pain, and scarring right after surgery. Whereas this procedure effectively treats pain, it also eliminates radiocarpal motion. Has anyone had this procedure? Do not take any additional Tylenol as man pain medications already contain Tylenol. Thumb CMC arthroplasty involves removing the small wrist bone that is part of the CMC joint and replacing it with a wrist flexor tendon. Recovery Time After CMC arthroplasty with FCR tendon transfer. Carpometacarpal Joint Protect the arthroplasty through splinting and activity modification/joint protection Reduce edema and pain Maintain full AROM of uninvolved joints Precautions: No ROM of thumb MP or CMC joints No ROM of wrist unless specifically prescribed by MD No strong pinching or …

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