A trapeziectomy is a surgical procedure in which the trapezium, one of the carpal bones of the wrist that forms part of the thumb joint, is removed to help manage symptoms of thumb arthritis. Most patients experience an improvement in their arthritis symptoms after a trapeziectomy, including decreased pain and improved use of their thumb for gripping, pinching, and grasping.
Thumb arthritis, also known as carpometacarpal joint osteoarthritis, affects approximately one in three women and one in eight men. When symptoms do not resolve with conservative methods, a trapeziectomy may be recommended to decrease pain and improve hand use and function.
Trapeziectomy with ligament reconstruction and tendon interposition is one of the most common procedures for treating thumb arthritis to obtain long-term stability of the thumb joint.
This operation is usually performed under general anaesthetic, meaning you will not be awake during the procedure. First, Dr. Durand will make an incision on top of the thumb or the outer side of the fleshy part of your thumb base. Then, he will gently remove the small bone at the base of the thumb (the trapezium); this bone is the cause of your pain. The surrounding joints are inspected at the same time.
Occasionally if there is arthritis at the base of the trapezoid (a neighbouring carpal bone), then Dr. Durand will remove the arthritic part of this bone as well. The wound is closed with dissolving sutures.
IF YOU ARE CONSIDERING TREATMENT FOR A THUMB BASAL ARTHRITIS, DR. DANIEL DURAND WILL GUIDE YOU, FROM CONSULTATION TO RECOVERY, TO THE BEST THUMB ARTHRITIS PROCEDURES FOR YOUR INDIVIDUAL NEEDS.
Most people recover well after undergoing a trapeziectomy. Potential risks associated with the operation include:
Based on the reported experience, it is believed that primary trapezio-metacarpal osteoarthritis surgically treated by trapeziectomy and ligament reconstruction without tendon interposition allows good long-term results.
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DR. DANIEL DURAND HELPS MEN AND WOMEN FROM MONTREAL AREA TO ENJOY A PAIN-FREE LIFE AGAIN THROUGH THIS PROCEDURE.
Dr. Durand will take the time to carefully outline the various options available to you along with the benefits and risks associated with each procedure during your comprehensive one-on-one consultation.