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Old 01-05-2009, 10:44 AM   #1
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Thumbs up CMC Joint Arthroplasty

Hello All!

I'm in my mid 40s and had pain in my left basal joint since 2004. After complaining all these years, my primary dr did blood test for arthritis and sent me for hand xrays a year ago. Blood test was neg (only detects RA) and xrays looked good. With the pain getting so bad that it interferred w/daily activities, dr finally sent me to a specialist. Turns out that I had no cartilage left in the joint and my thumb was starting to pivot into my palm.

Splinting did nothing for the pain - actually caused more pain - and cort. shots were not an option due to the degree of damage. So, I opted for the arthroplasty w/ligament reconstruction 12/16. Just got my stitches out a week ago and am now in a removable splint. I still have the pin (k wire) in my hand and this week has been far more uncomfortable than the first 2 weeks after surgery with all the padding/splint on.

Has anyone else had this surgery? What was your experience with the wire? How was PT? I can't wait to get this wire out! Uhhhhggggg! I'm not allowed to drive, but hope that changes next week.

Thanks for sharing!

 
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Old 01-06-2009, 07:06 AM   #2
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Re: CMC Joint Arthroplasty

Sweet heart,
I hear your pain! I had myself many bone surgeries and I know how painful and uncomfortable this is.
I did not have this particular surgery, but I am here to wish you a speedy recovery!

When I had my last spinal surgery I went to PT for 8 month. I saw people came after same surgeries you had and their PT sessions were much shorter than mine and usually did not take that long in total.
I heard women talking that this was the best decision they ever made to have this type surgery. They were able to go back to normal life and doing things they couldn't do before the surgery.
So I think you will be OK - my best wishes to you!

 
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Old 01-07-2009, 06:16 AM   #3
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Re: CMC Joint Arthroplasty

Thanks! I do think this was a good decision to go forward with the surgery.

Wow - spinal surgery sound very serious. How are you doing now?

 
Old 02-01-2009, 08:54 AM   #4
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Re: CMC Joint Arthroplasty

I had the same surgery on my left thumb on December 11th...Got the cast off one week ago, and started physical therapy...it is actually going much better than I had thought. I couldn't believe how much pain this surgery was!!! I totally underestimated just how serious it was. Like you, I had no cartilage left...
I am not sure about the wire...I have a plate and screws...also had the nerves cut, so it is very sensitive right now. But I don't think mine had gone as long before I had the surgery - I fell on my hand in December 2007, so it was only a year. Tried the splints, the cortisone shots - all to no avail. Even wore a cast for three weeks back then because I had developed tendonitis so badly.
Anyway, hope this helps you...I am doing very well; my PT says on Friday I got an A+ for working so hard. I know I have a long road ahead, and a lot of work. But I want it to get back to normal. Hope you are doing well, and feel free to ask anything else!

 
Old 03-05-2009, 02:13 PM   #5
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Re: CMC Joint Arthroplasty

Hello,
I am about to have CMC joint arthroplasty. Any hints as to functioning with one hand out of action? It will be my dominant hand.

Thanks!

Last edited by hb-mod; 03-24-2010 at 11:53 PM. Reason: Removed Quote of immediately preceding post. Please use "Quick" Reply rather than "Quote" Reply. Thanks!

 
Old 03-10-2009, 05:15 AM   #6
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Re: CMC Joint Arthroplasty

My cmc thumb surgery was not on my dominating hand and it was a struggle to do everything! Putting on a bra was really hard. I bought myself some padded bras (which I don't need) simply because they pulled over my breasts easier! I had to put them on over my head like you would a tee shirt. I got the kind that has very stretchy thin straps and kept the bras hooked, even during washing them. Driving was out of the question, my cast was in the way and I can't drive one handed. My husband did so much for me and I really am thankful for that.

 
Old 03-11-2009, 06:22 AM   #7
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Re: CMC Joint Arthroplasty

Thank you for the tips! Luckily, I too have a husband around to help. How long did you have a cast on?

 
Old 03-11-2009, 08:56 AM   #8
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Re: CMC Joint Arthroplasty

I guess about 8 to 10 weeks. I had 3 different casts on. April 24th I had my surgery and I had the 3rd (and final) cast removed the middle of June. Then after that I had to wear a removable cast for therapy (the therapist makes them special for each person) But the therapist said my splint I had gotten from the drugstore before surgery was ok so he didn't make me one. I went to therapy for 3 weeks and my hand never got back to where it should be.

 
Old 03-11-2009, 08:01 PM   #9
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Re: CMC Joint Arthroplasty

What? Never? Are you worse than you were when you began?

That's horrible!

 
Old 03-12-2009, 05:37 AM   #10
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Re: CMC Joint Arthroplasty

My hand was supposed to get stronger and stronger so that in one year (which will be this April) it should be better than ever. Well that didn't happen. I don't know what to think. Maybe I didn't exercise it enough. Maybe going back to work a few weeks after the last cast was removed(which the Dr. said I could do) was too much.

If that wasn't bad enough, I fell directly on it about a month ago, hopping over a barrier we use to keep our puppy confined to one area for now and I landed right on it to try to stop from hitting the floor with my face!

I don't mean to discourage you, I would have the other one done if I still had to work... or even now, being retired.... but only if it gets really bad. The hand I got surgery on was really bad before I had surgery.

 
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Old 03-12-2009, 07:33 AM   #11
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Re: CMC Joint Arthroplasty

I looked up CMC Arthroplasty and I think it is different than CMC Arthroscopy. Are you getting a joint replacement? I'm so sorry if I messed up. I had my trapezium bone removed and replaced with a tendon from my arm to be used in the space where the bone was removed.

 
Old 03-13-2009, 04:20 AM   #12
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Re: CMC Joint Arthroplasty

Quote:
Originally Posted by linweid View Post
I looked up CMC Arthroplasty and I think it is different than CMC Arthroscopy. Are you getting a joint replacement? I'm so sorry if I messed up. I had my trapezium bone removed and replaced with a tendon from my arm to be used in the space where the bone was removed.
Thanks for your kind responses. What you describe is what I am having done. It's one week from today! I'm getting nervous. My doctor insists all his patients have done well and he comes highly recommended.

I'll be off work 2-3 weeks, so I hope that's enough.

Take care and thanks for your input.
klbk

 
Old 03-13-2009, 04:38 AM   #13
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Re: CMC Joint Arthroplasty

I know what you mean ablout being nervous as the time gets closer, I was nervous too. But it will be here and done before you know it.
I'll be very anxious to hear how it all went. Maybe my doctor messed up, or maybe because I was 60 years old, or maybe I needed more therapy on it, who knows why I can't lift much with it. I'm sure the majority of people do well and I'm just one who didn't.

 
Old 03-13-2009, 06:05 PM   #14
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Re: CMC Joint Arthroplasty

Okay. It may be a while after my surgery before I can post, but I will as soon as possible. Thanks for caring.
klbk

 
Old 03-18-2009, 10:13 AM   #15
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Re: CMC Joint Arthroplasty

I had a similar surgery on the 12th of Feb. Just got the cast off and pin out on this past Monday. This has been the pits.... I had total knee replacements last year (one Feb and one in July) and this has been as difficult in many although different ways. My doctor does a procedure that just totally removes the bone in question.....No tendon used nor a spacer....But I have all the faith in the world that this will work....It has been wonderful having new knees although they are still healing and progressing as well....I believe it is up to us to make our bodies work after these major surgeries and it will take A LOT of continual work...1st by working through the pain and then by continual working to strengthen the joint and then work to keep it strong and limber. I have wondered how mine will work when I am now completely missing a bone in this joint and have nothing to replace it, yet I know my doctor is totally up to date on the latest procedures. I do know few people who have had the surgery that uses the tendon in place of the missing bone and they have all been happy with the results....It just will take complete commitment on your part to make it work.

Last edited by debberdee; 03-18-2009 at 10:16 AM. Reason: mispell

 
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