Artificial Joint Replacement of the Thumb Oak Harbor WA

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Nathan Barrett, MD
(805) 434-1808
Oak Harbor, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Brooklyn, Coll Of Med, Brooklyn Ny 11203
Graduation Year: 1962

Data Provided By:
James M Somers, DDS
(218) 722-4484
1000 E 1st St Ste 300
Oak Harbor, WA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Thomas J Degan, MD
(337) 988-8855
3475 N Saratoga St
Oak Harbor, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1976

Data Provided By:
Jill Ann Rider, MD
80 N Main St
Coupeville, WA
Specialties
Orthopedics
Gender
Female
Education
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduation Year: 1994

Data Provided By:
Kent Smillie, MD
(508) 334-1000
80 N Main St
Coupeville, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Albany Med Coll, Albany Ny 12208
Graduation Year: 1997

Data Provided By:
Thomas J Dewey III, MD
(337) 988-8855
Oak Harbor, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1967

Data Provided By:
Scott Brent Nash, DDS
(360) 679-6493
PO Box 2340
Oak Harbor, WA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
K Byron Skubi, MD
(360) 678-4424
80 N Main St
Coupeville, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1971

Data Provided By:
David H Slepyan
(360) 678-2128
107 S Main St Ste D101
Coupeville, WA
Specialty
Hand Surgery

Data Provided By:
Malcolm B Madenwald, MD FACS
(360) 293-6453
PO Box 803
La Conner, WA
Gender
Male
Education
Medical School: Univ Washington
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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