Artificial Joint Replacement of the Thumb Chapel Hill NC

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L Tanya J Bailey, DDS
School Of Dentistry Ste 7450 Orthodontics Department
Chapel Hill, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
G Paul De Rosa, MD
(919) 967-8741
400 Silver Cedar Ct
Chapel Hill, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1965
Hospital
Hospital: Duke University Med Ctr, Durham, Nc
Group Practice: American Board Of Orthopedic

Data Provided By:
Jeffrey T Spang, MD
(919) 966-9071
School of Medicine CB 7055,
Chapel Hill, NC
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Donald E McCollum, MD
(919) 489-5383
Chapel Hill, NC
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Donald K Bynum Jr, MD
(919) 966-6730
250 Burnett-Womack CB 7055,
Chapel Hill, NC
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: U Of Tx Med Sch At Houston, Houston Tx 77225
Graduation Year: 1976
Hospital
Hospital: University Of North Carolina H, Chapel Hill, Nc
Group Practice: Unc Med Ctr-Orthopedics

Data Provided By:
Brian Heath Mullis, MD
(813) 389-4449
CB 7055,
Chapel Hill, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1999

Data Provided By:
Aaron Edward Boorstein, MD
(305) 644-1424
Chapel Hill, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Brooklyn, Coll Of Med, Brooklyn Ny 11203
Graduation Year: 1968

Data Provided By:
Mark R McGinnis, MD
(828) 322-5172
30078 Britt
Chapel Hill, NC
Gender
Male
Education
Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1984

Data Provided By:
Brandon D Bushnell, MD
(919) 966-9071
3144 Bioinformatics Bldg Campus Box 7055,
Chapel Hill, NC
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Charles Alvin Hanson, MD
(919) 966-9066
School of Medicine CB 7055 236 Burnett-Womack Bldg,
Chapel Hill, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Oh State Univ Coll Of Med, Columbus Oh 43210
Graduation Year: 1964

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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