Physical therapy for basal thumb arthroplasty


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A Systematic Review of Postoperative Hand Therapy Management of Basal Joint Arthritis




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You shouldn't eat or drink anything after midnight the night before. Surgical Procedure Before we describe the procedure, let's look first at the artificial thumb joint itself. The Artificial Thumb Joint Surgeons have several ways to replace the thumb joint surfaces. One way is to attach the ends of a prosthesis implant into the bones of the thumb joint. A newer method uses a small, marble-shaped implant to form the new joint surfaces. This spherical implant works like a ball bearing to give the joint a smooth arc of movement.

The Operation The procedure to put in the prosthesis implant takes about two hours to complete. The newer method using the ball implant takes 30 to 60 minutes.

Arthroplasty Physical therapy thumb for basal

The CMC joint is the one that allows you to move your thumb into your palm, a motion called opposition. Several ligaments strong bands of 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. Rationale What does the surgeon hope to achieve?

The main goal of this surgery is to ease pain where the surfaces of the thumb joint are rubbing together. The surgeon uses a piece of tendon to form a spacer that separates the surfaces of the CMC joint. Unlike a fusion surgery that simply binds the joint together, excision arthroplasty can help take away pain while allowing the thumb joint to retain some movement. Rationale What should I do to 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.

The tribute takes out excises the buyer backbone at the base of the security. You may have some time after excision arthroplasty.

Your surgeon may suggest a complete physical examination by your regular doctor. This exam helps to ensure that you are in the best possible condition to undergo the operation. On the day of your surgery, you will probably be admitted to the hospital early in the morning. Therapist working on woman's hand Image: After an arthroplasty, your doctor can suggest physical therapy exercises to help regain strength and mobility in your thumb. Complete exercises only under the supervision of your doctor or physical therapist. Osteoarthritis and Arthroplasty Osteoarthritis results when cartilage that cushions the bones wears away -- allowing the bones to rub together.

This joint-related arthritis can cause pain, stiffness, Physical therapy for basal thumb arthroplasty and a lack of mobility in your thumb and wrist. For severe cases of osteoarthritis, a doctor can recommend an arthroplasty procedure to help reduce pain and improve mobility in the basal joint. Your doctor will recommend some pain medication to help. Keeping the hand elevated above your heart can also help relieve the symptoms. You can do this by placing your hand up on a stack of pillows while you are sitting or sleeping. Physical therapy or occupational therapy with a certified hand therapist is recommended for further casting or splinting.

The therapists will work to help you regain motion, strength, and coordination at the CMC Joint. Joint reconstruction usually requires a period of immobilization followed by therapy. Recovery typically takes up to three months for the prosthetic implant surgery. The casting period is longer as well. Recovery does not take as long for the Spherical Implant Surgery—individuals can return to full activity after three to five weeks. Most commonly, patients continue to improve for many months after surgery. With either surgery method, most individuals achieve good results and are able to use their thumbs with little or no pain.

Because of the variability and small numbers, no conclusive recommendations could be made on any of the three study questions. Conclusions Comparative, multicenter studies comparing different immobilization and therapy protocols after the surgical treatment of basal joint arthritis would be helpful for both surgeons and therapists looking to refine their treatment protocols. Introduction Basal joint arthritis also called trapeziometacarpal arthritis or carpometacarpal arthritis of the thumb is a common problem.

In patients with advanced, painful arthritis of therapj joint, there are multiple surgical options. These include resection of the trapezium with or without Kirschner wire stabilization of the thumb metacarpal, basal joint arthroplasty with trapezium resection, ligament reconstruction and tendon interposition, and prosthetic replacement. Although many systematic reviews have compared the various surgical procedures for treatment of basal joint arthritis [ 151725 ].


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