Artificial Joint Replacement of the Thumb Laconia NH

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Donald M Ettelson, MD
(603) 528-9100
432 Shore Dr
Laconia, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Syracuse, Coll Of Med, Syracuse Ny 13210
Graduation Year: 1956

Data Provided By:
Jeffrey A Clingman
(603) 528-9100
14 Maple St
Gilford, NH
Specialty
Hand Surgery

Data Provided By:
Shawn Paul Mills, MD
(603) 528-9100
14 Maple St
Gilford, NH
Specialties
Orthopedics, Emergency Medicine
Gender
Male
Education
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduation Year: 1993

Data Provided By:
Jeffrey Allen Clingman, MD
(603) 528-9100
14 Maple St Ste 100
Gilford, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1985

Data Provided By:
Thomas W Rock
(603) 528-9100
14 Maple St
Gilford, NH
Specialty
Orthopedic Surgery

Data Provided By:
Gary Praed Francke, MD
(603) 528-9100
14 Maple St Ste 100
Gilford, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1969

Data Provided By:
Arnold R Miller, MD
(603) 524-5151
PO Box 637
Laconia, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ma Med Sch, Worcester Ma 01655
Graduation Year: 1980

Data Provided By:
Gary P Francke
(603) 528-9100
14 Maple St
Gilford, NH
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Arnold Miller
(603) 524-5151
724 North Main Street
Laconia, NH
Gender
M
Education
Medical School: Univ Of Ma Med Sch
Year of Graduation: 1980
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.0, out of 5 based on 1, reviews.

Data Provided By:
Thomas Willard Rock, MD
(603) 528-9100
14 Maple St Ste 100
Gilford, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Dartmouth Med, Hanover Nh 03755
Graduation Year: 1978
Hospital
Hospital: Franklin Reg Hosp, Franklin, Nh; Lakes Region General Hospital, Laconia, Nh
Group Practice: Orthopedic Professional Assn

Data Provided By:
Data Provided By:

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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