Artificial Joint Replacement of the Thumb Clinton MD

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Edward G Alexander Jr., MD
(703) 461-7100
4801 Kenmore Ave
Alexandria, VA
Business
Northern Virginia Orthopaedic Group
Specialties
Orthopedics

Data Provided By:
James E Callan MD
(301) 891-6130
7610 Carroll Ave
Takoma Park, MD
Specialties
Orthopedics

Data Provided By:
Leonid Selya, MD
301-599-9500 x236
9135 Piscataway Rd Ste 300
Clinton, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Moscow Med Stomatologic Inst, Moscow, Russia
Graduation Year: 1981

Data Provided By:
Mehrdad Malek, MD
(240) 338-5304
7801 Old Branch Ave Ste 402
Clinton, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Shahid Beheshti Univ, Fac Med, Teheran, Iran
Graduation Year: 1972

Data Provided By:
J Michael Joly, MD
(301) 599-9500
9135 Piscataway Rd Ste 300
Clinton, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1981

Data Provided By:
David C Johnson, MD
(202) 291-9266
106 Irving St NW
Washington, DC
Business
National Orthopedics PC
Specialties
Orthopedics

Data Provided By:
Joseph Thomas Crowe, MD
(301) 599-9500
9135 Piscataway Rd Ste 300
Clinton, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1978

Data Provided By:
Vestinia Bridges, MD
(301) 856-3514
8926 Woodyard Rd
Clinton, MD
Specialties
Orthopedics
Gender
Female
Education
Medical School: Howard Univ Coll Of Med, Washington Dc 20059
Graduation Year: 1991

Data Provided By:
Chester Anthony DiLallo
(301) 856-1682
8926 Woodyard Road
Clinton, MD
Specialty
Orthopedic Surgery

Data Provided By:
Alan George Schreiber
(301) 856-1682
8926 Woodyard Road
Clinton, MD
Specialty
Orthopedic Surgery

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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