Cmc arthroplasty recovery. What is CMC .

Cmc arthroplasty recovery. The BioPro Modular Thumb Implant offers significant benefits over traditional trapeziectomy procedures, addressing key patient concerns while preserving surgical options. Barnum or an immediate family member is an employee of Falcon Rehab Products. In this surgery, two incisions will be made in the forearm and a section of a flexor tendon (usually the flexor carpi radialis) is harvested. Oct 13, 2018 · Thumb CMC Osteoarthritis: LRTI Procedure, Simple Trapeziectomy, CMC Arthrodesis Jennifer Moriatis Wolf, MD Katherine Barnum Baynes, MS, OTR, CHT Ms. The thumb and hand will feel numb and sore at times, gradually improving as healing progresses. Expert care to help you recover and restore mobility. First grip and pinch tests after surgery. Ataker, Yaprak MD; Gudemez, Eftal PT; Comert Ece, Sibel, MD; Canbulat, Nazan MD; Gulgonen, Ayan MD; Rehabilitation Protocol After Suspension Arthroplasty of Thumb Carpometacarpal Joint Osteoarthritis. Postoperative Instructions for Thumb Arthritis Surgery – Thumb CMC Arthroplasty Operation: Severe arthritis at the CMC joint (the joint at the base of the thumb between your thumb metacarpal and trapezium) causes the pain at the base of the thumb. Revised April 2020 The CMC joint should be supported during range of motion exercises. Go to the emergency room if this occurs at night or on a weekend. Instruct the patient to begin active and passive range of motion of the wrist. The surgeon sizes the stem of the prosthesis to ensure a snug fit into the canal and inserts it. However, carpometacarpal denervation has recently shown promise as an alternative treatment option. Revision thumb carpometacarpal (CMC) arthroplasty alleviates persistent pain and instability after nonimplant or implant CMC arthroplasty. Demographic data included age, sex, and hand dominance (Table 1). Specifically, the most common type of thumb arthritis known as thumb CMC joint arthritis or ‘basilar’ thumb arthritis. This arthritis causes pain at the base of the thumb, which may be treated with rest, Check out this preview of Sanjeev (Sanj) Kakar, Professor of Orthopedic Surgery, perform a Left Thumb Trapeziectomy and Tightrope Suspension Arthroplasty. Educate the patient on anti‐edema management. It is a progressive condition that is generally more prevalent as patients get older. Today I would like to discuss thumb arthritis. While some soreness and stiffness are common for a few weeks after surgery, most people start to notice the benefits around three months. How soon can you return to work? Some patients can return to work at the 2-4-week mark for light activities. Wean from wearing wrist and thumb static splint to an as needed basis. There is no guarantee of complete pain relief, but in most cases, the pain much less pain than before surgery. Non dominant surgical hand has 50% strength of dominant no. A burr (a small cutting tool) is used to make a canal into the bones that form the thumb joint. Arthritis at the base of the thumb is also known as CMC (carpal metacarpal) arthritis, or basal joint arthritis. The procedure involves removing the trapezium, a small wrist bone that supports the 6 week after surgery (CMC mini tightrope left thumb). Disease and surgical data included duration of symptoms, Eaton stage, operative time, and complications. 6-8 weeks post op Unrestricted PROM Continue orthosis PRN Gentle strengthening is initiated to the thumb, wrist and forearm at 6 weeks. Learn about treatment, recovery, and how our specialists can help relieve your pain. Arthritis at the base of the thumb is a common condition. I have confidence in the surgeon who would perform suspection arthroplasty. The casting period is longer as well. Thumb carpometacarpal (CMC) arthroplasty is a surgery for patients with thumb CMC joint arthritis who continue to have symptoms and issues with thumb function despite nonsurgical treatment. Generally, considerations of the amount of pathology and inflammation may prolong the overall recovery and my cause changes to this overall generalized program. Joint reconstruction usually requires a period of immobilization followed by therapy. Sipe. It is much more frequent in women compared to men. The entire procedure is done through tiny incisions. For the best recovery, patients are advised to follow the advice of the surgeon. Recovery Complete recovery from CMC Arthroplasty can take several months. Oct 5, 2022 · Has anyone had CMC surgery where the trapezium bone is removed and your tendons are knotted to sit in the space to cushion your thumb? If so what was your experience? Sanjeev (Sanj) Kakar, Professor of Orthopedic Surgery with a specialist interest in Hand and Wrist disorders at Mayo Clinic in Rochester, Minnesota will perform a trapeziectomy and a tight rope suspension arthroplasty on a female patient with basilar thumb joint arthritis. Jul 19, 2022 · Many older adults, particularly women over age 50, endure pain at the base of their thumbs and lose grip strength and range of motion. CMC Arthroplasty Rehabilitation Protocol Thumb carpometacarpal joint arthritis can cause significant pain and instability. Oct 6, 2025 · Explore trapeziectomy: understand preparation, surgery, and recovery. Mark Dodson walks through a CMC Arthroplasty Procedure with great detail. The ultrasound can enhance the vasoelast ing may be initiated between 6 and 8 weeks postop. Apr 5, 2023 · Tipping me toward suspension arthroplasty: no hard cast for 5 weeks, more rapid recovery, same outcome as LRTI or other. Thumb CMC arthroplasty accounts for the most commonly performed surgical recon-struction for osteoarthritis of the upper extremity. It depends on the type of surgery you’ve had performed as well as the protocol that your surgeon has Sep 8, 2020 · A newer surgical technique for patients with thumb arthritis involving fiberwire ligament reconstruction halves rehabilitation and immobilization time and significantly lowers the complication rate compared to other procedures, says David S. You can view the full video and many The procedure to treat CMC joint arthritis is called CMC arthroplasty with flexor tendon interposition. S Thumb CMC Arthroplasty is a very successful procedure that removes thumb pain and improves the strength of the hand. Continue to support the CMC joint. Dec 16, 2011 · I am new to this Board, and would appreciate hearing from others who have had CMC arthroplasty with FCR tendon transfer. Restrictions Recovery from CMC arthroplasty is approximately 3 months. If your incisions are red or there is drainage coming from them, call us right away at the phone numbers listed on the next page. Surgery removes the trapezium (the small bone at the base of the thumb) and surrounding bone spurs. Metacarpal subsidence onto the scaphoid causing impingement, missed diagnosis such as scaphotrapezoid arthritis, and metacarpophalangeal hyperextension are common causes of failed CMC arthroplasty. Recovery typically takes up to three months for the prosthetic implant surgery. The Mini TightRope procedure uses a specialized wire to support the thumb to relieve pain and improve mobility. Recovery After Thumb Surgery Depending on the type of surgical procedure used, full recovery from a thumb joint arthroplasty operation can take a number of months. Introduction First carpometacarpal (CMC) joint arthritis in the younger, high demand patient is problematic, and, as of yet, there is no definitive treatment strategy. Despite the many studies comparing various surgical techniques of thumb carpometacarpal (CMC) arthroplasty, there is a lack of consensus on protocols for postoperative immobilization practices and hand therapy. What is LRTI? LRTI (ligament reconstruction and tendon interposition) is a surgical procedure that is most commonly conducted to treat thumb CMC (carpometacarpal) arthritis where the damaged joint surfaces are removed and replaced with a cushion of tissue that keeps the bones separated. These are symptoms of thumb arthritis, a common condition that makes it hard to twist the cap off a bottle, use a doorknob or button a shirt. Jul 20, 2006 · The joint capsule is opened, exposing the CMC joint. 1, 2, 3 Specifically, many differences exist in the recommended length of immobilization (range, 2–12 weeks), type of orthotic device (semirigid, rigid), when to start hand Get expert CMC arthroplasty care in t The Hand & Upper Extremity Center of San Antonio for thumb joint pain. Physical therapy or hand and thumb exercises may be prescribed when the cast is removed, continuing for 1 or 2 more months. Return to work and sport/recreation per surgeon discretion. Sep 25, 2025 · Carpometacarpal arthroplasty (CMC arthroplasty) is a joint replacement procedure for the base of the thumb that eliminates the grinding and pain felt from the rubbing of bone on bone after the protective cartilage has been removed. Jul 3, 2024 · And I just found it to be the least painful, the quickest recovery, and the highest patient satisfaction,” said Dr. Educate the patient on anti-edema management. CMC joint arthroplasty has been found to be up to 93 successful at 10-year follow-ups for new-generation implants. The review also clearly identifies the almost complete … Ligament reconstruction and tendon interposition (LRTI) is an effective surgical procedure performed on patients suffering from the effects of basilar joint arthritis, or arthritis of the thumb that is non responsive to conservative treatment. Avoid thumb opposition. Jun 11, 2025 · The recovery time from carpometacarpal joint arthroplasty can vary. 7 Feb 22, 2024 · Joint replacement (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 treatment. It is made of two bones. Learn if it’s right for treating thumb arthritis pain. It addresses the associated narrowing of the joint space, instability, and dislocation. May 26, 2025 · Recovery from CMC arthroplasty typically takes 6 weeks or longer, and many patients report high satisfaction with the results. There are several acceptable variations of the surgery used to treat basal joint arthritis. For those in Nebraska and Iowa experiencing thumb pain, here’s what to know about CMC arthroplasty, recovery, and outcomes. Learn about the procedure, recovery and benefits. People who have CMC arthroplasty are Mar 27, 2023 · Thumb arthritis surgery is an option when arthritis is causing debilitating pain and stiffness that doesn’t respond to alternative treatments. The Intercarpal joints are the articulations between the individual carpal bones Aug 30, 2023 · What Is Thumb CMC Arthritis? The Ultimate Guide For Patients Welcome back to another (somewhat longer) article covering the basics of a common hand surgery topic. Doing a 10 minute warm water soak or hot pack beforehand will help you do the exercises with less discomfort, and will help improve your motion. more Aug 7, 2022 · Trapeziectomy with suspensionplasty is the most popular treatment for thumb carpometacarpal arthritis. Learn about the recovery timeline, post-surgery care, and expert rehabilitation from the Regional Hand Center in Fresno, Merced and Visalia. Nov 19, 2023 · Let’s chat about the phases of recovery after CMC arthroplasty, the role of splints, and various adaptive tools that can aid in regaining hand function. Orthosis needs to provide maximal support to the CMC joint. What is Carpometacarpal Joint Arthritis The CMC joint is the joint at the base of your thumb. Some implants are placed without removing the trapezium, thereby preserving healthy tissue, improving strength and providing options if additional procedures are needed. How CMC Arthroplasty Eases Arthritis Pain and Stiffness in Your Thumb - When arthritis affects your thumb joint, you deal with many frustrations and limitations. Anesthesia options include general or light sedation in combination with a regional nerve block. Trapeziectomy and CMC Arthroplasty Download PDF Postoperative Guidelines Your splint/dressing should remain on until your first postoperative visit which will be 8-14 days after surgery and will be on your discharge paperwork. What is Carpometacarpal Arthroplasty? Carpometacarpal (CMC) arthroplasty is a surgical procedure used to treat advanced arthritis of the thumb joint—specifically at the base where the first metacarpal meets the trapezium bone. Location: Video Format: Three (10-minute) videos, plus a 3-minute video introduction Price: $25 for members/non-members Video Description: Carpometacarpal (also known as) CMC arthroplasty, is a common surgical intervention for CMC deterioration resulting from arthritic degeneration. The surgery can greatly improve thumb functionality and mobility, providing long-term relief from arthritis pain, with a success rate of about 96%. The procedure is a last resort, particularly if symptoms have worsened and no longer respond to non-surgical treatments. Designed to progress the individual through rehab to activity participation taking into consideration specific patient needs and issues. May 29, 2020 · This type of thumb surgery is also known as arthroplasty. The FCR tendon (one of your wrist flexor Oct 17, 2020 · Early active recovery is used more often in the literature and does not lead to worse outcomes or more complications. Videos provide education for those suffering from CMC or basal joint thumb arthritis and contemplating CMC arthroplasty or LRTI surgery. This surgery REMOVES the trapezium bone and uses a fiberwire to help suspend the metacarpal bone (the long bone of the thumb) to keep it Thumb CMC Arthroplasty (LRTI) – OT Protocol Chad Broering, MD **OT initiated 2-3 weeks post op** **Splint discontinued 8 -12 weeks post op** POST OP WEEK OBJECTIVES Post Operative Visit #1 Forearm based opponens thumb splint The goals for hand therapy following a CMC arthroplasty are to regain thumb / wrist range of motion, decrease pain, increase functional strength and return to functional activities. It's often a treatment for CMC arthritis. stent and dense scars may benefit from ultrasound. Each patient experiences discomfort to a diferent degree but you can expect your discomfort to decrease rapidly over the first 48-72 hours postoperatively. What is CMC Arthroplasty with TightRope? CMC arthroplasty with TightRope, also known as carpometacarpal suspensionplasty, is a novel procedure employed for the treatment of basal joint arthritis (thumb arthritis) found within the trapezium bone of the carpometacarpal (CMC) joint. What is the recovery like after CMC Arthroplasty or LRTI surgery? The answer is, it depends. Nov 14, 2018 · Hello! 😃 Has anyone had this procedure? I had the LRTI procedure on my left thumb/wrist 10 years ago with great results. Patient Education CMC Arthroplasty Thumb Carpometacarpal Arthritis (Thumb CMC Arthritis/Basal Joint Arthritis) Thumb arthritis is one of the most commonly diagnosed problems in the hand. Previous work examining Medicare spending on surgical interventions for CMC arthritis from 2001 to 2010 showed that the average total costs of ligament reconstruction and tendon interposition (LRTI) and CMC joint arthrodesis or joint prosthetic arthroplasty performed in hospital outpatient settings are $4,186 and $3,412, respectively. What is CMC A simple reconstructive method for treating advanced arthritis of the thumb carpometacarpal (CMC) joint with suture suspension arthroplasty (SSA) is a reliable, low morbidity procedure, providing a simpler alternative with similar long-term outcomes, compared to trapeziectomy procedures, with or without ligament reconstruction. “Duke has been revolutionary in its use of advanced techniques to make the recovery from thumb arthritis surgery Apr 7, 2023 · Carpal metacarpal (CMC) arthroplasty is a type of joint replacement surgery for the thumb. But this time, my surgeon suggested the STABLYX implant due to my age and lifestyle. Thumb carpometacarpal (CMC) arthroplasty is a surgical procedure designed to relieve pain and restore function in the thumb’s basal joint, particularly for patients suffering from arthritis at the base of the thumb. Recovery typically lasts up to three months for prosthetic implant surgery, whereas Spherical Implant Surgery may allow for a quicker return to activity, often within three to five Full recovery from CMC Arthroplasty will take several months. You will be seen in hand therapy 1-2 times each week. If edema and/or pai Postoperative Care and Recovery In general, postoperative care instructions and recovery after CMC arthroplasty with TightRope will involve the following steps: You will be transferred to the recovery area where your nurse will closely observe you for any allergic/anesthetic reactions and monitor your vital signs as you recover. However, over time, this Discover what to expect during thumb joint arthroplasty recovery in California. The cause of arthritis at the base of the thumb is thought to be the result of a combination of factors Dr. The procedure involves What is CMC Arthroplasty with TightRope? CMC arthroplasty with TightRope, also known as carpometacarpal suspensionplasty, is a novel procedure employed for the treatment of basal joint arthritis (thumb arthritis) found within the trapezium bone of the carpometacarpal (CMC) joint. This procedure helps alleviate pain, improve thumb function, and restore hand strength. After failure of conservative Total joint replacement has certain advantages over other surgical treatment methods for osteoarthritis of the thumb CMC joint, including restoration of thumb length and alignment, fast recovery of hand function and prevention of iatrogenic complications at neighbouring joints. Suspensionplasty, Arthroplasty, Interposition, Intercarpal or Carpometacarpal Joints Suspensionplasty, Arthroplasty, Interposition. This motion may stretch the suspensionplasty site which may cause joint instability. The procedure involves . Learn about conservative treatment options and the surgical procedure called a carpalmetacarpal (or CMC) arthroplasty in this video. Incidence of thumb CMC joint osteoarthritis Apr 26, 2023 · CMC arthroplasty can involve a tendon transfer, a total joint replacement, a suture, or temporary wire. Nov 27, 2018 · LRTI is a type of surgery for treating arthritis of the thumb. CMC Arthroplasty, also known as thumb basal joint reconstruction, is a surgical procedure aimed at treating thumb arthritis (also known as basal joint arthritis) by removing the damaged joint surfaces and reconstructing the joint with a graft or implant. Methods A retrospective review was performed of all primary thumb CMC arthroplasties performed by the University of Pennsylvania’s Hand Surgery Section from 2015 to 2019. Basal joint surgery relieves the pain and Feb 24, 2025 · Discover how the Ensemble CMC Implant can relieve thumb arthritis pain and restore mobility and function. Your splint and sutures will be removed at the first postoperative visit, and you will be placed in a forearm-based thumb spica cast for 2-3 weeks. Overview Indications for surgical intervention include CMC joint arthritis, degenerative joint disease, pain and/or instability with rest and/or with daily activities, and patients who have failed conservative management for >= 2-3 months Thumb CMC Joint Arthroplasty Surgery Home Program Phase 2 Exercises DAVID GESENSWAY, MD Exercises should be done with your splint off, just 3 times per day. To achieve this objective, surgeons remove part or all of the trapezium bone in the wrist. The ends of the bones that form the CMC joint surfaces are taken off, forming flat surfaces. The cartilage on the metacarpal and the trapezium wears down because of the Osteoarthritis. I'm having this procedure done on my left thumb on 3/6/12. Pros: Thumb arthroplasty is a less invasive surgery (because there is no grafting) with faster recovery and rehabilitation times. -Day of surgery-2 weeks: no lifting greater than 1 pound with operative arm. Begin active finger Carpometacarpal Arthroplasty Surgery Guide General Information You can eat and drink when you feel able to. Contact The Hand and Wrist Institute for expert care. During basal joint reconstruction surgery, your orthopedic hand surgeon removes the degenerated trapezium bone or a portion of the trapezium bone, also known as the carpometacarpal (CMC) joint. However, gains in strength are slow going, and patients often report that they are still getting stronger even a year after surgery. The most flexible joint in the hand is the thumb joint, which allows for various essential movements such as grasping objects. At the 3 month period, there are no activity restrictions CMC requires several months of healing and can take up to a year for the patient to recover. Aug 3, 2017 · Recovery and healing typically take at least 4 weeks in a cast (except when bathing). While it’s typically successful, it does come with a lengthy recovery time and the possibility of complications. General time frames are given for reference to the average, but individual patients will This handout explains follow-up care after arthroplasty surgery on your thumb carpometacarpal (CMC) joint. In the most commonly performed Carpometacarpal (CMC) joint arthroplasty is a surgery used to treat thumb arthritis when other treatments fail. Let’s talk about what you can expect during your recovery after having thumb joint replacement surgery. Patients return to normal activities gradually. During that time you will have restrictions on the use of your operative arm. The LRTI procedure uses the body’s own tissue to address the instability and Postoperative Instructions for Thumb Arthritis Surgery – Thumb CMC Arthroplasty Operation: Severe arthritis at the CMC joint (the joint at the base of the thumb between your thumb metacarpal and trapezium) causes the pain at the base of the thumb. It may take 6 months or more for full pain relief and recovery of strength Keep the surgical splint completely clean and dry after surgery Keep the hand elevated above the shoulder for the first 3 days as much as possible Ice the wrist and front of the elbow for 20 minutes, three to four times a day The main focus of rehab is to maintain the reconstruction of the ligaments surrounding the thumb for proper thumb mechanics and stability. Dr. What to Expect After Thumb Arthritis Surgery The goal of this surgery is to relive the pain at the base of your thumb. These bones are your metacarpal and trapezium . Joint reconstruction usually involves an immobilization period followed by rehabilitation. The basal joint is made up of the trapezium bone and the first metacarpal bone. This study was designed to compare functional outcomes, pain reduction, and quality of life between denervation and suspension arthroplasty in patients treated for thumb carpometacarpal Feb 8, 2022 · They concluded that early active recovery (short immobilization, early initiation of ROM, and strength exercises) provided positive outcomes for those undergoing CMC arthroplasty. During this time, the tendon spacer strengthens by turning into scar tissue. This systematic review provides guidance for clinicians in the content of postoperative rehabilitation for CMC-1 arthroplasty. Wolf or an immediate family member has received nonincome support (such as equipment or services), commercially derived honoraria, or other non-research–related… May 28, 2021 · One of these advancements, suture button suspensionplasty (SBS), has emerged as an effective technique for thumb carpometacarpal (CMC) joint osteoarthritis. Actual progress may be faster or slower depending on the individual. Thumb CMC Arthroplasty with LRTI Post-Operative Rehabilitation Christopher Honstad, MD Phone: 952-442-2163 | Fax: 952-442-2029 Thumb carpometacarpal (CMC) joint arthroplasty (MAIA joint replacement): aftercare advice Information for patients from the Hand Therapy Service You have had surgery to replace the joint at the base of your thumb. The joint at the base of the thumb called the trapeziometacarpal joint is a common point of arthritis and can become very painful when the cartilage surfaces get worn down. Ruch, MD, Duke chief of hand surgery. Thumb CMC Joint Arthroplasty This protocol is intended to provide the clinician with a guideline for the postoperative rehabilitation course of a patient who has undergone thumb CMC joint arthroplasty. The FCR tendon (one of your wrist flexor For patients struggling with thumb arthritis, surgical outcomes and recovery times matter deeply. Learn about cmc joint replacement treatment options at Midwest Orthopaedics at Rush. Holt will meet you on the day of surgery and review the plan. Even though surgery recovery is a slow process and there are potential complications, most patients who undergo a CMC arthroplasty will have decreased pain and improved function. Learn about treatments like Ligament Reconstruction and Arthroplasty. The CMC joint should be supported during range of motion exercises. This guideline is intended for use following Arthroplasties of the thumb CMC joint with soft tissue reconstruction. Thumb CMC Arthroplasty: Part 1 Pre-Op Explanation #cmc Thumb arthritis pain relief INSTANTLY with these 2 stretches Arthritis in the Hands//Top 5 Facts to know when you have hand arthritis Note: These instructions are to serve as guidelines and are subject to physician discretion. Most patients have a big decrease in their pain levels and are able to do more activities after thumb CMC joint arthroplasty surgery. Complete recovery from surgery can take 3-6 months. Swelling and pain is normal, especially for the first 48 hours. The procedure involves 6 Weeks Postop (continued) Unrestricted PROM exercises may be initiated. Remain in post-operative splint -Weeks 2-6: Transition to a removable splint and begin range of motion exercises. 1,2 In degeneration that is refractory to nonsurgical therapy, treatment strategies depend on the stage of disease. Thanks! Because of the continual use of the thumb in hand movements, the carpometacarpal (CMC) joint is subject to wear and tear. Over the next few weeks you will be given advice by your therapist about your rehabilitation and the management of your hand. X-rays were assessed for trapezial space height Explore thumb arthritis: causes, symptoms, and surgical options for relief. In general, it is a progressive instability or degenerative arthritis that occurs at the base of thumb, that over time fails conservative treatment, which includes bracing, therapy, anti-inflammatory medications and corticosteroid injections. It is also used to treat some carpal metacarpal (CMC) instability cases. Arthritis often affects the small joints in your hands, Jul 28, 2021 · This course will discuss the surgical management of CMC thumb arthritis, specifically the ligament reconstruction and tendon interposition (LRTI) surgery as well as post-operative expectations. 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. Pre/Post-Operative Information – Thumb CMC Arthroplasty What to expect during surgery: Operative treatment of thumb CMC arthritis is generally performed on an outpatient basis. My surgery is scheduled for 11/21/2018 and would love to hear of anyone's experience who has had this procedure done. If pain is persisting for patient, delay strengthening to 8 weeks post op If needed dynamic/static progressing orthosis for the thumb. It is an outpatient procedure notable for its rapid recovery time. While first CMC joint arthroplasty is a treatment option, there is an associated extended time for recovery as well as concern about the longevity of the reconstruction. In addition to pain relief, patients typically report improvements in function and strength. Is CMC arthroplasty right for you? For people experiencing symptoms of thumb arthritis, CMC arthroplasty may offer some relief. Learning objectives: Describe the dorsal approach to the thumb CMC joint; Appreciate the technical tips and tricks in Note: These instructions are to serve as guidelines and are subject to physician discretion. sqffks rowyq9 wrisgf wo tq hia z6rlzk 1cuwl 3ibph rs4