We often neglect our hands and thumbs. Most activities that we do all through the day need our thumb application hugely. From grasping a packet to texting in Smartphone’s, we need our thumbs. But sometimes our thumbs while all these wide ranges of motions do fall prey to osteoarthritis in the first CMC joint. Under this condition, the thumb joins the trapezium bone in our wrist. This condition can be treated with medications and physiotherapy initially. However, when the joint becomes damaged, then surgery is the need of the hour. And it is always best to get it done under the guidance of an ace hand surgeon.
How does osteoarthritis in CMC joint start and aggravate?
The problem generally starts when a thick ligament which holds the joint together loosen out. It enables it to get completely out of place. And as time passes, you will find that your articular cartilage completely wears away. When this happens, you will feel extreme pain, and your movements will get restricted. Any inflammatory arthritis such as Rheumatoid Arthritis can hurt the first CMS joint. It is also called the trapeziometacarpal joint. According to famous doctors and orthopaedic hand surgeons, this problem is prevalent with women who have crossed the age of 50.
When it gets detected at an early stage, both men and women respond to the treatment appropriately. The traditional treatment procedures include splints, anti-inflammatories, restricted steroid injections and activity modifications. However, there are times when the situation aggravates, and surgery is the only solution. It is crucial to get connected with the best hand surgeon. You can read useful materials online such as drlooikokpoh.review and the like, to get an idea about an expert hand surgeon or orthopaedics.
Three important surgeries
There are three prominent surgeries that hand surgeons and orthopaedic recommend for this hand condition. They are as follows:
- Ligament reconstruction
This surgery helps to stabilize the CMC joint. The operation removes a section of the affected ligament. It gets replaced with a part of the wrist flexor tendon of the patient.
- Ligament reconstruction and tendon interposition
This surgery has been in use for over 40 years. Orthopaedic recommended it for curing thumb arthritis. During this surgery, the arthritic joint surface gets wholly removed. It is them substituted with tissue cushion that helps to keep the bone separated. To get this done, a hand surgeon removes a part or all of the patient’s trapezium bone in his/her wrist.
A tendon close by gets separated on one end. After that, it gets passed through a hole that the doctor drills in the patient’s thumb metacarpal. The tendon that’s remaining gets rolled and placed in the area from where the bone has got removed. Today, hand surgeons have the choice to opt-in for artificial anchovies that reduce the need to move a tendon.
- Hematoma and Distraction Arthroplasty
It is a complicated surgery. It helps to remove the patient’s trapezium bone in the wrist. Also, a wire is used temporarily for immobilizing the thumb. And after six weeks the wire is removed.
These are the three necessary surgeries that get recommended when a patient suffers from thumb arthritis. It is the surgeon who decides which operation is apt for a person. When conducted by an expert hand surgeon, the surgeries will succeed, and the patient will recover at the earliest.