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Basal joint reconstruction surgery, also known as arthroplasty, is a procedure for people with advanced "wear and tear" arthritis in the basal joint of their thumb that has not improved with nonsurgical approaches.
Surgery. If you don't respond to other treatments or if you're barely able to bend and twist your thumb, your doctor might recommend surgery. Options include: Joint fusion (arthrodesis). The bones in the affected joint are permanently fused. The fused joint can bear weight without pain, but has no flexibility. Osteotomy.
5 Surgeries for Thumb Arthritis. Learn about 5 procedures used to treat joint damage and pain caused by thumb arthritis. Most activities that involve grasping or pinching are possible because of the thumb’s remarkable range of motion.
Basal joint surgery is performed under regional or local anesthesia to minimize discomfort. Advanced minimally invasive techniques will be utilized to reduce tissue damage. Your surgeon will either remove or reconstruct damaged joint surfaces. Your thumb will be stabilized using tendon grafts or implants, if necessary.
Nonsurgical treatment options for basal joint arthritis include the use of oral medications or the injection of corticosteroid into the joint. These injections can be quite helpful and often provide relief for several months.
Thumb arthritis is a painful condition of joint inflammation typically affecting the basal joint at the base of the thumb, also known as the “carpometacarpal (CMC) joint.”
There are several options for the surgical treatment for arthritis of the thumb CMC joint. One type of surgery, called CMC Arthroplasty, involves reconstructing the joint. The surgery may be done as an outpatient procedure or may require an overnight stay at the hospital.