Artificial Joint Replacement of the Thumb Albuquerque NM

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Anthony F Pachelli, MD
(505) 724-4300
201 Cedar St SE
Albuquerque, NM
Business
New Mexico Orthopaedic Associates
Specialties
Orthopedics

Data Provided By:
Richard Edison White Jr, MD
(505) 724-4331
201 Cedar St SE Ste 6600
Albuquerque, NM
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Tx Southwestern Med Ctr At Dallas, Med Sch, Dallas Tx 75235
Graduation Year: 1974

Data Provided By:
Michael E Mc Cutcheon, MD
(505) 242-5205
201 Cedar St SE Ste 6600
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1969
Hospital
Hospital: Albuquerque Reg Med Ctr, Albuquerque, Nm; Presbyterian Hospital, Albuquerque, Nm
Group Practice: New Mexico Orthopaedic Assoc New Mexico Spine

Data Provided By:
Robert Leslie Mc Roberts, MD
(505) 265-1711
2211 Lomas Boulevard North East,
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Yale Univ Sch Of Med, New Haven Ct 06510
Graduation Year: 1966

Data Provided By:
Kari Miroslaw Babinski, MD
(715) 847-3225
201 Cedar Street North East South
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1992

Data Provided By:
Robert Quinn
(505) 272-4947
2nd Ambulatory Care Ctr
Albuquerque, NM
Specialty
Orthopedic Surgery

Data Provided By:
Eric Charles Benson, MD
(505) 272-4107
1405 Girard Blvd SE
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 2002

Data Provided By:
Frank Richard Heckl, MD
(505) 724-4300
201 Cedar St SE Ste 6600
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Southern Ca Sch Of Med, Los Angeles Ca 90033
Graduation Year: 1976

Data Provided By:
David A Bernstein
(505) 724-4300
201 Cedar St Se
Albuquerque, NM
Specialty
Hand Surgery

Data Provided By:
James Francis Fahey Jr, MD
(505) 272-4107
2211 Lomas Boulevard North East,
Albuquerque, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduation Year: 1970

Data Provided By:
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Artificial Joint Replacement of the Thumb

A Patient's Guide to Artificial Joint Replacement of the Thumb

Introduction

If nonsurgical treatments are not successful in easing problems of thumb arthritis, your doctor may recommend replacing the surfaces of the joint. Joint replacement surgery is called arthroplasty.

This guide will help you understand

  • which parts of the thumb are involved
  • how surgeons perform this surgery
  • what to expect before and after surgery

Anatomy

Which parts of the thumb are involved?

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. This joint is sometimes referred to as the basal joint of the thumb. The CMC is the joint that allows you to move your thumb into your palm, a motion called opposition.

Several ligaments (bands of strong tissue) hold the joint together. These ligaments join to form the joint capsule of the CMC joint. The joint capsule is a watertight sac around the joint.

The joint surfaces are covered with a material called articular cartilage. This material is the slick, spongy covering that allows one side of a joint to slide against the other joint surface easily. When this material wears out, the joint develops a type of arthritis called osteoarthritis and becomes painful.

Related Document: A Patient's Guide to Hand Anatomy

Rationale

What does the surgeon hope to achieve?

Arthritic joint surfaces can be a source of stiffness, pain, and swelling. The artificial joint is used to replace the damaged joint surfaces so patients can do their activities with less pain. Unlike a fusion surgery that simply binds the joint together, arthroplasty can help take away pain while allowing the thumb joint to retain movement.

Related Document: A Patient's Guide to Arthritis of the Thumb

Preparation

How should I prepare for surgery?

The decision to proceed with surgery must be made jointly by you and your surgeon. You need to understand as much about the procedure as possible. If you have concerns or questions, you should talk to your surgeon.

Once you decide on surgery, you need to take several steps. Your surgeon may suggest a complete physical examination by your regular doctor. This exam helps ensure that you are in the best possible condition to undergo the operation.

A second purpose of the preoperative visit is to prepare you for your surgery. You'll begin learning some of the exercises you'll use during your recovery. And your therapist can help you anticipate any special needs or problems you might have at home, once you are released from the hospital.

On the day of your surgery, you will probably be admitted to the hospital early in the morning. You shouldn't eat or drink anything after midnight the night before.

Surgical Procedure

What happens during surgery?

Before we describe the procedure, let's look first at the artificial thumb joint itse...

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