Basal Joint Arthroplasty

The basal joint is located at the base of the thumb. It plays an important role in allowing the thumb to move towards the palm. However, this joint can be susceptible to damage as a result of injury, repetitive use, or illness.

Any form of damage to the basal joint can result in:

  • Pain when holding or grasping items
  • Difficulty in maintaining a hold of something
  • Wearing away of the cartilage that allows smooth movements
  • Weakness in the ligaments

How are basal joint injuries treated?

Basal joint arthroplasty is a surgical treatment option for basal joint injuries. This procedure involves the removal of the damaged part of the joint and replacing it with artificial parts (or could be with your own soft tissues).

This procedure is only recommended if conservative treatments (e.g. pain medications, rest, physical therapy) provide very little to no relief.

Basal Joint Arthroplasty

What can you expect before, during, and after basal joint arthroplasty?

Before the procedure

Before surgery, your doctor will perform a thorough examination on the affected joint. You may also be asked about your symptoms and medications that you’ve taken and currently taking.

If surgery is recommended in your case, blood tests may be requested to rule out any blood clotting conditions. You will also be referred to a physical therapist to discuss rehabilitation before and after surgery.

You will be given instructions on what to do days and on the night before surgery.

During the procedure

After the anesthesia has taken effect (it can be a general anesthesia or regional nerve block), your surgeon will make an incision in the skin to reach and work on the affected joint.

Once done, the incision is closed with either stitches or staples. Your hand will be wrapped in bandage and placed in a protective device to protect it while it heals.

After the procedure

It usually takes several months to fully recover from the surgery. In those months, you will have regular follow-up check-ups with your surgeon and rehabilitation appointments with your physical therapist.

If you’re dealing with pain or loss of functionality in your hand or wrist, we can help you feel better faster. Call (772) 288-2400 or schedule an appointment with one of our hand and wrist specialists at South Florida Orthopaedics & Sports Medicine.