4 Weeks Postoperative Instruct the patient to begin active range of motion of the thumb CMC joint. You will also perform gentle exercises at home, and formal therapy will begin after six weeks. Total joint arthroplasty (TJA) is one of the most commonly performed procedures in orthopedic surgery, and as the demand for TJA increases over time, the number of concurrent complications such as surgical infection will also increase. I'm now at a point where I am considering a revision surgery for the thumb arthroplasty, after a series of events over the last 2 years. At 8 weeks: Start Scapulothoracic rhythmic stabilization. We do Week 12 â 15: Patient seen 1 â 2 x / week. Treatment Algorithm for progressing the Rehabilitation Program for a Patient that has had a Total Shoulder Arthroplasty. I have had nothing but problems, starting with regional pain syndrome which has now gone thank goodness. Let pain be your guide. 8 months post op report. The scar tissue management will continue for several weeks. Wound Care Dressings are to be kept clean and dry. The improvement from the first week back to work to now is ten fold. The start of this protocol will often be delayed 3-4 weeks following rTSA for a revision. Basically, they cut the end of my thumb bone off (cmc joint), made a hole into the center of the bone for the stem to be inserted into the thumb. Arthroplasty can drastically improve your quality of life and help you to enjoy the activities you previously enjoyed, including walking, biking, running, swimming, and so much more. What are safe hand exercises i can do? ⢠No shoulder extension past neutral ⢠No combined adduction and internal rotation and extension. The motion includes abduction, adduction, flexion and extension. (Figure 8). o You should not return to work or the office or attend meetings on the same day of your surgery. As I have said, I'm a heavy duty auto mechanic. The CMC joint is the carpometacarpal joint at the base of the thumb that attaches to the joint at the wrist. Dr. Steven Simon answered 37 years experience Physical Medicine and Rehabilitation Osteoarthritis in the basal joint at the wrist and base of the thumb can require a surgical procedure called arthroplasty. I am 8 months post op from my CMC thumb arthroplasty with tendon transfer, carpal tunnel and Dequervains release all done together. 12+ weeks (!ird post-op visit) No further therapy beyond normal use of the hand should be required at this point. CMC Arthroplasty When conservative treatment of thumb osteoarthritis fails to control pain surgical treatment may be indicated. Title: Arthroplasty Thumb CMC Joint Patient Instructions Phase I: immediate postoperative phase (0-14 days after surgery) Goals: 1. A small amount of clear drainage or bleeding is normal. Cast and pin are removed at doctorâs office 2. Avoid lifting, pulling or pushing items that weigh more than 1 pound for about 6 weeks. Just got my cast off now in a spica splint. Hi kvillarr, I am about 19 weeks post op on this surgery on my left non-dominant hand. This video demonstrates a patient 6-8 weeks post-op after having a Posterior Cruciate Ligament reconstruction as performed by Professor Munjed Al Mud... PCL Reconstruction - 6-8 weeks post surgery Call +61 2 8882 9011 or IV. You will then be placed into a thumb spica cast and will come back for cast and pin removal 3 weeks ⦠If ⦠weeks postoperatively. No resistance until 4 ½ months, periscapular strengthening ok. Maintenance of good postural positioning when performing all exercises. General Considerations: Use of a sling for 3 weeks post-op unless otherwise indicated. How long will it take to recover from Thumb CMC Arthroplasty? One time each of these weeks. I had hand surgery (CMC arthroplasty; trapezium removed) 5 weeks ago. However, all still seemed to go well w/OT until I was at about 12 weeks. At 8 weeks: AAROM of shoulder motion to not exceed shoulder height. DURING BASAL THUMB CMC JOINT ARTHROPLASTY SURGERY - WHAT IS DONE: The pain at the base of your thumb is relieved by removing the arthritic joints. X-rays should be obtained to evaluate the reduction, and if it is correct, the TMC joint may splinted in flexion with the post op splint for three weeks. not sure exact method, 2 screws and suspension he said. It bends at the top knuckle. When I look back, it probably wasn't a Dislocations may be treated by closed reduction under anesthesia. At 8 weeks: Gentle joint mobilizations for glenohumeral, scapulothoracic. Post-op Instructions for CMC Arthroplasty and Ligament Reconstruction These instructions are to compliment the information given by the nursing staff and physical therapists. During CMC thumb surgery your doctor will either fuse the CMC joint or add a spacer between the joints in the thumb to reduce arthritic pain. You should keep the hand elevated as much as possible the first few weeks. They cover many of the common questions. I had the bone removed, replaced with tendons and the bottom portion of my right thumb fused. Avoid shoulder AROM. Wow, I just read this thread from the start. You can and should move your fingers. You will see your surgeon or PA 10-14 days after surgery in the office where the stitches will be removed. He also cleaned up several bone spurs. I put my 1st post-op xrays up here for you to see. After an arthroplasty, your doctor can suggest physical therapy exercises to help regain strength and mobility in your thumb. No pulley in the first 6 weeks. I am 4 was post op from cmc thumb surgery. %ere are no lifting/carrying or other activity restrictions after 12 weeks, unless otherwise discussed on a case-by-case basis. I was given a nerve block which numbed my shoulder, arm and hand. the pain, not bad, is mostly on the back of my hand and it itches. Precautions: No above the shoulder strengthening until 4 months post-op. Contact Hand Surgical Associates Boston today at 781-890-2133 . Is it normal to still have pain&stiffness in other fingers? osteoarthritis of the thumb carpometacarpal (CMC) joint is a common condition in older adults. I have very little rom I was in a hard cast for 5 weeks, and then a removable soft cast for 4 more weeks⦠Minimize heavy, excessive cyclic loads for the first 6 months. There are multiple risk factors that independently increase the risk of surgical site infection (SSI) and periprosthetic joint infection (PJI) ⦠had cmc arthroplasty 2 days ago. Welcome to our Thumb CMC Arthroplasty (LRTI) page. IV. may be fusion or arthroplasty, the decision made by the surgeon. A referral to a hand therapist will be needed to have a splint made after surgery at your first post-op visit. I generally see them at 6 weeks post op, 7 weeks post op, 9 and then 12 weeks post op. At the first post-operative visit, you will be provided with a custom splint to wear for four weeks. Specific interventions should be based on the needs of the individual and Then, for the articulating surface, they burred a conical area for the "ball" part of the new joint to ride inâ¦. Total knee arthroplasty (TKA), also known as a total knee replacement, is an elective surgical procedure to treat patients who experience pain and dysfunction from an arthritic knee joint. PHASE III: INTERMEDIATE POST-OP CONTD (7-8 WEEKS AFTER SURGERY) Rehabilitation Goals ⢠Minimize pain Case Example The following case is taken from email collaboration with Jessica Serron, PT in October 2014. âA 51 year old female presented to the clinic 5 weeks post-op right CMC arthroplasty. are seen. These often can coincide with the MD visits. The incision site is closed, and the patient is placed in a spica cast for 5 weeks. Right from the moment I got my cast off (about 7 weeks) I also got the clicking in the 1st joint nearest to my thumb nail. I'm post-op day 5 from left CMC thumb arthroplasty. Doing ROM, elevation. ACCESSIBILITY Accessibility ... 1.Continue for 4-6 months post operative . The surgery is generally safeâmillions of procedures are performed yearly and very few people experience complications.
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