The results of my surgery so far have been amazing. It is a procedure which involves removing some of the bone at the base of the thumb. There can be multiple potential sources for continued pain about the base of the thumb. and loves what he does. In fact, it can lead to progressive cartilage wear. The whole staff makes you feel like family. I had CMC joint arthroplasty with tendon insertion 3 1/2 years ago. When I run my finger along the incision line it feels as though there is an electrical current or … All rights reserved. I had injured my hand and I left the office feeling better. The condition progresses gradually and, eventually, the joint is destroyed, which causes pain, disability and pinch weakness. I had about maybe a year with not too much pain but had to be careful. My surgeon did not schedule a follow-up exam. But because sophisticated movements depend on this joint, it’s susceptible to wear-and-tear from normal use. The primary benefit of arthrodesis is pain relief in the affected joint. Total joint arthroplasty offers a better solution, especially in the late stages of basal joint arthritis. CMC joint surgery failure. The classic surgical procedure for more advanced basal joint arthritis consists of a complete excision of the arthritic trapezium bone, with a ligament reconstruction using either the flexor carpi radialis or the long thumb abductor in the first compartment. This reconstruction carries another risk: A patient has few salvage alternatives if it doesn’t provide expected relief. If the cartilage damage seems to be advanced, then the surgeon conducts a burring of the trapezium’s articular surface to increase joint space. One of the first surgeries that was initially done for CMC arthritis is a Trapeziometacarpal arthrodesis. Patients with milder (15º) hyperextension deformity, I have not addressed further than immobilizing the MCP in slight flexion at the time of CMC joint surgery. It is quite obvious that they love working there with him and that they love their jobs. The symptoms of hip replacement failure are pain, and limited mobility. concern. Iatrogenic fractures after failed K-wire fixation in the management of a carpometacarpal (CMC) joint fracture-dislocation have not yet been reported (Hsu et al., 2011). But dexterity comes at a price – an increased risk of osteoarthritis (OA) in the first carpometacarpal (CMC) joint, where the thumb meets the trapezium bone in the wrist. Please leave valuables at home, but the surgery centers do require photo ID. For patients, a well-structured program of hand therapy may restore previous levels of function. The CMC trapezio-metacarpal prosthesis is indicated for total joint replacement in skeletally mature patients with pain or instability of the trapezio-metacarpal joint due to trauma, inflammatory, or degenerative disease or revision of previous procedures, as an alternative to arthrodesis or reconstructive surgery. Depending on which joint is affected, you may have the option of joint replacement surgery or arthrodesis. This minimizes direct contact between the metacarpal base and trapezium. surgery for cmc joint arthritishow to surgery for cmc joint arthritis for You may already be taking medicines — either prescription or over-the-counter — to relieve morning the 1 last update 2020/11/27 stiffness, inflammation and pain in your joints. From the 1st visit, Dr. Badia performed surgery to fix the initial issue and later did another surgery to correct the botched one; I couldn't be happier with the results. Removed 8 weeks later and placed in splint for another 4 weeks. We both recommend Dr Badia. I first contacted Dr. Badia's clinic after I injured my hamate bone. I did a much simpler surgery and fixed me in no time. Copyright © 2020 Elsevier B.V. or its licensors or contributors. Went to other doctors (UM, mount Sinai) and they didn’t promise me I would recover 100% of my injuries and told me I would not be able to do sports again. Wear comfortable clothes. We use cookies to help provide and enhance our service and tailor content and ads. CMC joint surgery failure. The end game in which osteophytes create a broad base to an arthritic CMC joint that eventually stiffens, stabilizes and, thereby, frequently quits hurting. This joint is sometimes referred to as the basal joint of the thumb. It is critical that there is no evidence of arthritis in the joint below the trapezium, the scapho-trapezial-trapezoid joint as treatment of this condition could affect the biomechanics of the joint replacement and lead to failure. His staff is very kind, professional, friendly and truly cares. © 2018 by the American Society for Surgery of the Hand. When the deformity is … Once surgery has been designated, an array of surgical alternatives exist, all of which provide specific benefits and disadvantages. Infection. We both trust our hands ONLY to him ! Thank you everyone from the bottom of my heart and I would recommend Dr. Badia's expertise and his office to anyone. I went to Dr. Badia with a bad infection in my nail. 8 Laxity or incompetence of the supporting ligaments, especially the dorsoradial ligaments, will cause instability of the thumb CMC joint. BASAL THUMB CMC Joint ARTHROPLASTY SURGERY DAVID GESENSWAY, MD THE DAY OF SURGERY: Welcome! He is so good at what he does and took care of me with such. I had an injury, to my Highly recommend Dr. Badia! While walking, do not leave your hand dangling at the sides, and do not rest it on your lap while you are seated. He did the surgery on my hand and with a bit of rehab it healed better than I expected and my pain was gone ! The CMC joint (an abbreviation for carpometacarpal joint) of the thumb is where the metacarpal bone of the thumb attaches to the trapezium bone of the wrist. Tele-med conference with Dr. Badia and staff regarding "golfer's elbow", Staff was very welcoming and accommodating.. Dr. B. was very professional and caring.He seems to be a driving. I right then decided to drive 4hours to go see him; I must say it was the best decision I made. Risks include bleeding, infection, escalation in pain, nerve, and muscle damage. Regardless of the cause, injury to the stabilizing ligaments surrounding the CMC joint leads to instability and dorsoradial subluxation or dislocation of the thumb metacarpal.… Wouters 2017 In press rehabilitation after thumb base surgery.pdf. Multiple catabolic steroid injections in the hand joint can lead to weakening of the joint capsule and surrounding ligaments, and even cause further breakdown to articular cartilage. Dr. Badia was as enthusiastic as I was about this surgery to improve the. Thumb carpometacarpal (CMC) joint arthritis is a common and debilitating condition.