Rheumatoid arthritis of the thumb is caused by wear and tear of the cartilage in the joint between the thumb’s metacarpal bone and the wrist bone, leading to pain, instability, and reduced function. Based on the examination, we may opt for treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) and rest, as well as the use of a splint or injections of a local anesthetic and a corticosteroid. Especially in advanced cases, this type of treatment is not long-lasting or very effective, so we recommend surgery. We may suggest joint fusion or arthroplasty to patients.
In the early stages, we may recommend:
For advanced cases, we recommend surgery. The goal of the procedure is to reduce pain, improve function, and restore grip strength.
At Juventina, we perform a variety of surgical techniques:
The choice of method is based on:
Before the procedure, we conduct a thorough examination and diagnostic evaluation to determine the optimal course of treatment. If necessary, we use imaging tests and magnetic resonance imaging (MRI) of the arm.
Diagnostics include:
After a preliminary consultation and design in a bloodless field, the operation is performed under local or general anesthesia with a short incision over the joint. The joint is exposed, and the affected part of the joint surface (base of the metacarpal bone and the wrist bone – a multangular bone or trapezium) is removed. Then, according to the plan, the joint is stabilized or reshaped by tendon weaving. We proceed with precise hemostasis (stopping bleeding) and skin suturing. After the operation, a splint is applied.
We use modern surgical techniques that enable:
After surgery, we expect that there may be minimal pain, swelling, and a pulling sensation in the area of the surgical incision. These symptoms usually disappear for the most part after approximately 3 weeks.
After surgery, the following may be present:
It is important to consider:
The full function gradually improves in the months after surgery. With an additional program Juventina Care 360° We enable comprehensive preparation for surgery, fast and effective recovery, and support with the most modern methods for faster regeneration.
Juventina Care 360° includes:
