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Osteoarthritis of the Thumb: Surgical Treatment (LRTI)



MEDICAL ANIMATION TRANSCRIPT: Osteoarthritis of the thumb, also known as basal joint arthritis, is a problem with the joint at the base of your thumb. Smooth cartilage covering the bones in your joint has worn away, causing pain and other symptoms. If non-surgical treatments don’t work, your healthcare provider may advice you to have a surgical procedure. One of the most common procedures for this condition is called trapeziectomy with ligament reconstruction and tendon interposition. During this procedure your surgeon will remove your arthritic trapezium bone. Next, your surgeon replace this bone with part of a nearby tendon. The tendon may be cut at one end and passed through a hole drilled in your thumb metacarpal bone. Then it will be rolled up and put into the space where the trapezium used to be. This tissue cushions your joint and keeps and keeps the remaining bones separated. To find out more about this procedure or other treatment options for osteoarthritis of the thumb, talk to your healthcare provider.

#osteoarthritis #ThumbArthritis #LRTI

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36 COMMENTS

  1. If you can find a surgeon that specializes in this, DO IT! If you have insurance DO IT! I was 40. Both thumbs were shot. New baby. I couldn’t hold a pencil. Couldn’t strap child in a car seat. I’d had many cortisone shots, but they were starting to not work. I did one hand at a time. 6-12 weeks I was healed! 🥲 I saw the insurance bill. Holy cow! You know what! I would have sold my house to relieve this pain if I had to. I’m 15 years post op. Still doing well.

  2. I had this surgery in January of this year on my right hand and I was back to full use of my hand 3 months after the surgery. The recovery was very successful as I did not wear, cast for four weeks by new protocol of my doctor, but had a removable cast that I had to take off during the day constantly and exercise my hand and fingers by myself. I had the same surgery on my left hand on December 6th with the same surgeon and at the same hospital and so far the results are completely different. My hand hurts more than after the first surgery! I have been taking painkillers for three days now. After the surgery on my right hand I took narcotic once, after the nerve block came off. And then I took Tylenol once. My arm simply did not hurt. Unfortunately my body is reacting differently this time! 🤷‍♀️ I am going to have my stitches and cast removed on Monday… let’s see what the doctor says. I really hope that my recovery will move in the right direction in couple of weeks, just like with my right hand! It just means, that you can’t control everything. God makes decisions!🤷‍♀️… 10 months apart, and a completely different experience with the same surgery, and the same surgeon. But I believe that everything will be fine in a month or so, and I will be able to use my left hand, as well as my right with full range of motion in three months after the surgery.🙏🏻 The main thing is to be positive and follow all the doctor’s instructions!!

  3. I had the BioPro thumb implant completed in Louisville Ky. I am convinced that this is the best procedure for basal joint arthritis. I am 100% satisfied with the results. The LRTI is an antiquated procedure.

  4. wish I could say this was a great option……a really tough surgery….lots of pain……still having strength issues……wouldn’t do it again unless my right hand becomes cripples…….

  5. I have been putting off this surgery for 2 years. Being a burn victim from an accident in the kitchen made me decide.I did not want to go through that again and had the surgery.
    I knew it was not gonna be an easy surgery. It's not… And I have had 20 prior surgeries all different places on my body… Including two new replacements and two shoulder replacements… I'd rather.
    Have my knee replaced again…
    I'm 2 months in and still wearing my brace.Have not started physical therapy yet but hopefully that will start next week….
    I've been positive through the whole thing because I want it to work…

  6. I had this surgery, which has been in use for more than 40 years, on my left thumb in 2018. It completely alleviated my pain and allowed me to get back to all my usual art activities. The only downside is not being able to pinch quite as hard as before (which I couldn’t do anymore anyway because of the arthritis ). Last month I had my other thumb done and look forward to the same good result.

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