What is trapezial excision?

Trapezium excision-arthroplasty is an effective solution for symptomatic trapezio-metacarpal arthritis or pan trapezoidal arthritis. There also are a number of adjunctive soft tissue procedures which need to be considered at the same time.

How painful is CMC surgery?

You will generally have no pain, and the numbing medication usually lasts about 8 or more hours, so you will leave the surgery center with no pain.

Which tendon is used in a Trapeziectomy?

Trapeziectomy with ligament reconstruction and tendon interposition (LRTI) with the flexor carpi radialis (FCR) tendon is one of the most common procedures for the treatment of trapeziometacarpal osteoarthritis. We modified the LRTI, using the palmaris longus (PL) tendon instead of the FCR tendon.

How long is recovery for CMC arthroplasty?

The first 6 weeks are tough with pain, weakness, and stiffness in the thumb. Most patients have minimal pain by 3 months after surgery. Your symptoms will continue to improve with improvements in ability to do more activities every 3 months.

What is trapezial?

The trapezius is a muscle that starts at the base of your neck, goes across your shoulders and extends to the middle of your back. The trapezius (traps muscle) helps you move your head, neck, arms, shoulders and torso. It also stabilizes your spine and helps with posture.

What does Trapeziectomy mean?

Trapeziectomy is a surgical procedure to treat a medical condition called “thumb base arthritis”. The procedure involves removal of a small, cube-shaped bone known as the “trapezium” at the base of the thumb joint which joins your thumb to your wrist.

Do you wear a cast after thumb surgery?

Yes. You will likely be in a cast for 2-4 weeks. You will also use either a removable orthosis a hand therapist will custom make for you or an off-the-shelf thumb and wrist splint for a month after the cast has been removed.

What is Stage 3 CMC arthritis?

StageIII: Continued joint narrowing with cystic changes and sclerotic bone formarion. Prominent osteophytes are present wiht moderate subluxation at the cmc joint and subluxation at the MCP joint. Stage IV: All the components of stage III along with destruction of the scaphotrapezial joint.

What can go wrong with a Trapeziectomy?

Possible complications of a trapeziectomy Possible problems include swelling, bruising, bleeding, blood collecting under the wound (haematoma), infection and splitting open of the wound (dehiscence).

How long does Trapeziectomy surgery take?

The operation usually takes an hour to 90 minutes. Your surgeon will make a small cut on the back of your hand at the base of your thumb, and remove the trapezium.

When is CMC surgery needed?

Conservative treatment options Surgery is recommended when nonsurgical intervention has failed. Oral and topical pain medication can provide localized pain relief for mild cases of thumb arthritis. Splints can help decrease thumb pain by supporting the joint and limiting movement around the area.

Why are traps important?

The trapezius, commonly referred to as the traps, are responsible for pulling your shoulders up, as in shrugging, and pulling your shoulders back during scapular retraction.

How is a trapezium tendon removed from the thumb?

The piece of tendon is sewn into a small ball and placed into the space where the trapezium bone was removed. The remaining portion of the tendon is sewn to the thumb metacarpal to stabilize the joint. The surgeon may also insert a surgical pin to connect and hold the metacarpal bones of the thumb and index finger.

Where can I learn about trapezium excision arthroplasty and flexor carpi radialis?

Learn the Trapezium excision arthroplasty and flexor carpi radialis tendon interposition surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Trapezium excision arthroplasty and flexor carpi radialis tendon interposition surgical procedure.

Is there an e-learning platform for trapezium excision arthroplasty?

Our e-learning platform contains high resolution images and a certified CME of the Trapezium excision arthroplasty and flexor carpi radialis tendon interposition surgical procedure. Trapezium excision-arthroplasty is an effective solution for symptomatic trapezio-metacarpal arthritis or pan trapezoidal arthritis.

What is trapezectomy with ligament reconstruction and tendon interposition?

Trapeziectomy with ligament reconstruction and tendon interposition (LRTI) is one of the most common procedures for treating thumb arthritis to obtain long-term stability of the thumb joint. 1