Overview

 

Resection (excision) Arthroplasty of the thumb is a surgical procedure commonly used in the treatment of thumb osteoarthritis and rheumatoid arthritis. It involves removing the affected⁣ joint and ​creating a new artificial joint. The primary objective of this surgery is to​ alleviate discomfort, enhance thumb mobility, and improve overall‍ hand ‌function.

Types

 

Though not different types,⁤ several variations of resection arthroplasty are utilized based on patient’s condition. They may⁤ include:

• • Simple⁤ Excision Arthroplasty: The diseased joint ⁣is‌ removed, and a gap is left without replacement.

 

• • Interposition Arthroplasty: Upon⁤ removal of the ⁣joint, the surgeon inserts a tissue cushion (usually from the patient’s ⁤own body) between⁤ the bones.

 

• • Implant Arthroplasty: This involves replacing ⁣the removed joint with an⁢ artificial one, often made from metal ⁣or plastic.

 

Causes

 

Osteoarthritis and ⁢rheumatoid arthritis of the thumb are the primary factors leading to this surgery. These conditions may be caused by:

• • Advancing age

 

• • Previous injury or trauma to⁢ the thumb joint

 

• • Genetic predisposition towards arthritis

 

• • Overuse ‌of the thumb joint

 

Symptoms

 

Typical symptoms of thumb arthritis that may lead to resection arthroplasty include:

• • Persistent or‍ intermittent pain in the thumb

 

• • Decreased‌ mobility or​ stiffness of the thumb joint

 

• • Swelling or inflammation ‍around the thumb joint

 

• • Dexterity issues, making ​it hard to grasp or pinch objects

 

• • Visible deformity of the thumb joint⁣ over ⁤time

 

Diagnosis

 

Physical examination is⁤ the primary way⁣ to diagnose thumb arthritis. Your doctor will assess for tenderness, swelling, ⁢reduced range of motion, and⁣ crepitus (a ‘grating’ sensation with motion). X-rays may be used to evaluate joint deterioration further. ⁤In some cases, blood tests or MRI ‍scans may also be included to rule out other potential‌ causes of the symptoms.

Treatment Options

 

Several treatment options are available, ‌which‌ range from conservative therapies to surgical procedures like resection arthroplasty. These ​include:

• • Non-Surgical options: ⁣Pain ⁣medication, physical therapy or occupational therapy, ⁢thumb braces or splints,‍ steroid ⁢injections.

 

• • Surgical options: Joint fusion, joint replacement, and of course, resection arthroplasty.

 

Living With Resection (Excision) Arthroplasty of the Thumb

 

Post-surgery, you may need to wear a cast or‌ splint for ⁤a few weeks to support the thumb as it heals. Physical therapy can be very beneficial, aiding in improving strength and mobility in the ⁢thumb. You may need to ‍take over-the-counter pain⁤ relievers initially to manage discomfort. ‍Balancing rest and gradual return​ to normal activities is⁤ important.

When ⁣to Seek Help

 

After undergoing resection arthroplasty, ⁣seek immediate medical attention if:

• • You have uncontrolled pain even after taking prescribed medication.

 

• • The operated area displays signs of infection, such as increased ‌redness, swelling,​ a discharge, or⁤ an unusual rise in temperature.

 

• • You notice any thumb numbness‌ or difficulty moving your fingers, as these could indicate nerve damage.