Artificial Joint Replacement of the Thumb New Castle DE

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David T Sowa, MD
(302) 731-2888
4745 Ogletown Stanton Rd
Newark, DE
Business
First State Orthopaedics PA
Specialties
Orthopedics

Data Provided By:
Devendra Madhusudan Jani, MD
(856) 678-2249
245 N River Dr
Pennsville, NJ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Bj Med Coll, Gujarat Univ, Ahmedabad, Gujarat, India
Graduation Year: 1971

Data Provided By:
Errol Ger, MD
(302) 655-9494
7th & Clayton Sts Medical Service Bldg Ste 600
Wilmington, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Cape Town, Fac Of Med, Cape Town, So Africa
Graduation Year: 1966

Data Provided By:
Andrew Jay Gelman, DO
(302) 655-5919
7th and Clayton St Ste 600
Wilmington, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Philadelphia Coll Of Osteo Med, Philadelphia Pa 19131
Graduation Year: 1979

Data Provided By:
Mohammad Kamali, MD
(302) 655-9494
701 N Clayton St Ste 600
Wilmington, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Teheran Univ, Fac Of Med, Teheran, Iran
Graduation Year: 1962

Data Provided By:
G Dean MacEwen, MD
(215) 427-3412
New Castle, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Queens Univ, Fac Of Med, Kingston, Ont, Canada
Graduation Year: 1953

Data Provided By:
Dan Edison Mason, MD
(302) 651-5922
PO Box 269
Wilmington, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1971

Data Provided By:
Kirk Wesley Dabney, MD
(302) 651-5950
PO Box 269
Wilmington, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1984
Hospital
Hospital: Allied Services, Scranton, Pa
Group Practice: Dupont Hospital For Children

Data Provided By:
Richard Titus D'Alonzo, MD
(302) 655-9494
6th and Clayton St Ste 600
Wilmington, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1967

Data Provided By:
S Jayakumar, MD
(302) 651-5911
PO Box 269
Wilmington, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Madras Med Coll, Dr M G R Med Univ, Madras, Tn, India
Graduation Year: 1959

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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