6 The most common complication after first carpometacarpal joint surgery is pain. Thumb arthritis may be surgically treated with a procedure called resection arthroplasty or sometimes called excision arthroplasty. Osteoarthritis of the carpometacarpal (CMC) joint, specifically, of the thumb trapeziometacarpal (TMC) joint, is a common condition in older women. There is a surgical option when other treatments, such as injections and therapy, fail to adequately reduce pain. A Study of Shoulder Arthroplasty Complications and Outcomes after a Previous Fracture Fixation Rochester, MN . We present two patients in whom complications developed after undergoing CMC arthroplasty. Management of these complications lacks consensus. A carpometacarpal arthroplasty or CMC arthroplasty is a joint replacement procedure for the base of your thumb. ... Arthroplasty is the process of implanting a new joint. Welcome to our Thumb CMC Arthroplasty (LRTI) page. The worse early problem is excessive swelling. Thumb CMC Joint Arthroplasty Surgical Technique DePuy Synthes Mitek Sports Medicine 5 7 Optionally, a 0.45 K-wire can be placed to the base of the thumb metacarpal, going across to the base of the second metacarpal to hold the CMC joint in a distracted, anatomic, and functional position. You may have stiffness in your thumb after surgery. There can be multiple potential sources for continued pain about the base of the thumb. Thumb carpometacarpal joint arthritis is a common and debilitating disease that can be managed nonsurgically or surgically. One type of surgery, called CMC Arthroplasty, involves reconstructing the joint. 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 After surgery, you will be discharged home in a splint. Price: $25 for members/non-members. • Bone, musculature, tendons, or adjacent soft tissue compromised by disease, infection, or prior implantation which cannot provide adequate support or fixation for the prosthesis. The Complications of CMC Thumb Surgery. Complications are minimal, but they may include the following: Carpal tunnel syndrome due to swelling (often resolves) Hypersensitivity over the incision Infection Numbness and tingling What should I expect after surgery? If you are having increasing pain unrelieved by the pain medications, pressure or the feeling the cast is too tight, or numbness and tingling, the cast may be too tight. The cause of arthritis at the base of the thumb is thought to be the result of a combination of factors including family history, … 2 Although scaphoid impingement is a commonly cited but rarely documented complication, a reduced joint … Pain is fairly constant, worsening at night. If this is unrelieved by elevation you should seek immediate consultation either in the emergency room or our office. This helps reduce swelling, and your hand may throb and feel worse if it is hanging down. Treatment generally involves a combination of medication and splints. Nonsurgical management includes orthotics, thenar strengthening exercises, NSAIDs, steroid injections, and hyaluronic acid injections. Related Articles. These sources can be neurogenic in nature, but can also represent continued arthritic problems in some of the other small joints of the wrist. Depending on the operative technique, causes of persistent pain may include the presence of a hypertrophic scar, sensory nerve irritation or damage, and cutaneous neuromas. CMC arthritis, status post trapezial excision with suspensionplasty and tendon interposition arthroplasty. It's a common misconception that cracking your knuckles causes arthritis. You may bleed more than expected or get an infection. ACCESSIBILITY Accessibility Postop Protocol . Haven't slept through the night since the surgery. Thumb arthritis pain can be debilitating, making everyday self-care tasks intolerable. 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. There is no consensus regarding treatment for late-stage thumb carpometacarpal (CMC) arthritis. CMC Arthroplasty When conservative treatment of thumb osteoarthritis fails to control pain surgical treatment may be indicated. Treatment is nonoperative or operative depending on the severity of symptoms and Eaton and Littler stage of disease. 10 Misconceptions. Have had to ask for Vicodin as Ibuprofen doesn't cut it. See Dr. Volarich deposition, pages 31-32. Had basal joint arthroplasty on my left hand over two months ago. The term excision means to take out. Format: Three (10-minute) videos, plus a 3-minute video introduction. Severe thumb arthritis might require surgery. Direct palpation usually reveals tenderness in the joint; depending on the stage of disease, the joint may appear swollen and/or the patient may have decreased range of motion. Various surgical techniques are available for the management of thumb carpometacarpal joint arthritis. Complications with the use of the Artelon spacer in thumb carpometacarpal (CMC) joint arthritis include inflammation, osteolysis, and persistent pain. The surgery may be done as an outpatient procedure or may require an overnight stay at the hospital. However, complications such as instability or loosening are also frequent with TMC ball-and-socket joint replacement. Juvenile arthritis patients may require surgical treatment. Patients often present with pain, instability, or weakness associated with pinch motions or activities where the thumb bears weight. Infection may occur at any time after arthroplasty and is generally diagnosed clinically. Video Description: Carpometacarpal (also known as) CMC arthroplasty, is a common surgical intervention for CMC deterioration resulting from arthritic degeneration. In this surgery, the surgeon takes out a small bone at the base of the thumb and fills in the space with a rolled up section of tendon. CONCLUSIONS: Thumb CMC joint arthroplasty with autologous ear cartilage and preservation of the body of the trapezium is an effective alternative to existing procedures.There is no morbidity to the ear, and predictable long-term improvement in thumb pain and strength can be obtained. Basilar thumb arthritis, sometimes referred to as thumb arthritis, is a common form of arthritis that affects the carpal-metacarpal joint of the thumb. Most thumb surgery is safe and performed as an outpatient, so complications are fortunately quite rare. by Venice Kichura Updated September 30, 2017 . He opined that the claimant’s work, leading up to August 29, 2011, was the prevailing factor causing these conditions. Decrease swelling, pain, and scarring right after surgery. You will need to cover with a plastic bag when showering. Have had to get Ambien for sleep. 6. Despite these joint replacements leading to pain relief, they have multiple complications including joint dislocation and hardware loosening (AM Gay, 2016). In late stages of the disease, the thumb may appear hyperextended at the metacarpophalangeal joint. The incidence of an infection deep is one out of thousands. 6 Loosening is the most commonly encountered problem with synthetic implants, with some studies approaching 50% loosening rates, but not all of those cases were symptomatic or required revision. If you received an implant, the implant may get loose, break, or become unstable. The purpose of this study is to describe the complications that occur during a shoulder arthroplasty surgery and the outcomes after, due to the altered anatomy or damage from a previous surgery to fix a fracture.