How long does it take to recovery from CMC arthroplasty?
The surgery is typically performed on an outpatient basis, and you will go home the same day. After surgery, your thumb will be placed in a cast for three to four weeks, followed by a plastic splint for four to six weeks. Typically, it takes between six and eight weeks to regain full movement in your thumb.
What bone is removed during a CMC arthroplasty?
Thumb CMC arthroplasty involves removing the small wrist bone that is part of the CMC joint and replacing it with a wrist flexor tendon. During the procedure, a small incision (approximately 1.5 inches) is made over the CMC joint, and the trapezium wrist bone is removed.
What tendon is used for CMC arthroplasty?
Description of Technique The thumb CMC joint arthroplasty is performed using an FCR tendon for ligament reconstruction combined with removal of the distal half of the trapezium, which is replaced with a life preserver-shaped spacer that is carved out of allograft cartilage.
When can you drive after CMC arthroplasty?
Once you are no longer taking the medicine, you may drive as soon as you can comfortably grip the steering wheel with both hands. It is generally best to avoid long drives until the initial dressing and plaster splint is removed. Right after surgery, you may begin gentle finger exercises.
What should I do after CMC surgery?
Avoid activities that cause hand pain. Let pain be your guide. A referral to a hand therapist will be needed to have a splint made after surgery at your first post-op visit. Make sure to follow splint instructions provided by the occupational therapist.
How long do you wear a splint after thumb surgery?
Your doctor or your physiotherapist or occupational therapist may recommend that you wear a splint on your hand for 1 to 4 weeks after surgery. It may take 6 to 12 weeks for your hand to heal completely.
When is a CMC arthroplasty needed?
The carpometacarpal joint is located at the base of the thumb and aids in many hand movements. When the cartilage shock absorber wears away, surgeons may recommend an arthroplasty to remove and replace the joint with a skin graft or an artificial implant made out of silicone, metal, or pyrocarbon.
What is the recovery time for thumb joint replacement?
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.
What helps CMC pain?
The following are nonsurgical treatment options:
- Activity modification.
- Massage.
- Over the counter NSAID’s (ibuprofen or naproxen)
- Anti-inflammatory herbs such as turmeric or ginger.
- Topical pain relief creams/gels.
- Occupational/physical therapy.
- Corticosteroid injections.
- Prescription anti-inflammatory medications.