When arthroplasty fails, often due to pain or subsidence, salvage operations may be indicated. Fusion of the basilar thumb joint is an option but may have increased complications. Current literature does not adequately outline the indications for and results of thumb arthrodesis in the setting of failed basilar thumb arthroplasty. Materials and Methods: IRB-approved retrospective review was performed of all patients undergoing fusion following failed basilar thumb arthroplasty between At latest follow up, data including grip strength, radiographic appearance, complications and need for revision surgery were recorded.
Zafira. Age: 32. The ultimate adult XXX star usually available only for traveling meetings. Services: Sex In Different Positions, Oral, Oral With Condom, Kissing, Kissing With Tounge, Cum On Body, Deep French Kiss, 69 Position, Extra Ball, Erotic Massage, Striptease, Couples, Light S/M, Toys.
CMC Arthroplasty of the Thumb: A Review
Thumb CMC Arthroplasty
Most activities that involve grasping or pinching are possible because of the thumb's remarkable range of motion. But dexterity comes at a price — an increased risk of osteoarthritis in the first carpometacarpal CMC joint, where the thumb meets the trapezium bone in the wrist. Sometimes the joint becomes so damaged that surgery is necessary. Problems often start when the thick ligaments that hold the joint together loosen, allowing it to slip out of place. Over time, the articular cartilage that cushions the ends of the bones wears away, causing pain and limiting movement.
Thumb CMC Arthroplasty
Review the clinical presentation of basal joint arthritis, conservative management strategies, when surgery is indicated, and what patients can expect after surgery. The basal carpometacarpal joint is the second most common location for osteoarthritis in the wrist and hand, and is the most common arthritic condition of the upper extremity to be treated with surgery. Basal joint arthritis is usually seen in patients aged 50 to 70, and occurs more frequently in women than men. Patients often present with pain, instability, or weakness associated with pinch motions or activities where the thumb bears weight.
Pain in the basal joint caused by arthritis makes it difficult for patients to grip and hold or twist objects between the thumb and fingers. This surgical procedure removes and rebuilds the basal joint. Arthritis of the thumb, also known as basal joint arthritis, occurs when the cartilage of the thumb joint carpometacarpal joint wears away from the bone. This cartilage normally acts as a cushion between the bones of the joint, and when it is worn away, the direct contact and friction between the bones causes pain, swelling, decreased strength and limited range of motion. Basal joint arthritis is commonly caused by inflammation in the lining of the joint, which in addition to pain, may result in stiffness, swelling and loss of movement in the thumb area.