Hand and Finger Joint Replacements
Hand, Wrist & Finger Specialist Care
Hand and finger joint replacements are advanced surgical procedures designed to restore function and alleviate pain in hand and finger joints affected by arthritis, joint deformities, or severe injuries. These procedures involve replacing the damaged joint surfaces with artificial implants, providing patients with improved mobility and enhanced quality of life.
Indications
Surgery is recommended for individuals with the following conditions:
Osteoarthritis: Degenerative joint disease that causes the cartilage in the hand and finger joints to wear down, leading to pain and limited mobility.
Rheumatoid arthritis: An autoimmune disorder that results in chronic inflammation and joint damage, leading to joint deformities and functional impairments.
Post-traumatic arthritis: Arthritis that develops after a previous hand or finger injury, causing long-term joint damage and pain.
Joint deformities: Severe joint deformities that interfere with hand function and mobility.
Joints that can benefit from replacement
The procedure can benefit various joints, including:
Finger proximal interphalangeal joints (PIPJs): Replacing the PIPJs can significantly improve finger mobility and function in cases of arthritis or joint damage.
Finger metacarpophalangeal joints (MCPJs): MCPJ replacements can restore hand function and grip strength affected by arthritis or joint deformities.
Finger distal interphalangeal joints (DIPJs): In some cases, a fusion procedure may be more reliable for the DIPJ instead of a joint replacement.
Types of joint replacements
Several types of joint replacements are available for hand and finger joints, including:
Silastic-linked implants: Silastic is a type of silicone rubber used in joint replacements to create flexible and durable implants. These implants are linked together, providing stability and allowing natural movement of the joint.
Pyrocarbon implants: Pyrocarbon is a biocompatible material that resembles the properties of natural cartilage. Pyrocarbon implants are designed to mimic the joint's movement and function.
Surface replacement metal on polyethylene: This type of surgery involves a metal surface that articulates with a polyethylene surface, allowing smooth joint movement.
Longevity of implants
The longevity of hand and finger joint replacements can vary depending on factors such as the patient's age, activity level, and the type of implant used. Modern joint replacements are designed to be durable and long-lasting, providing patients with years of improved joint function.
Rehabilitation
Rehabilitation after hand and finger joint replacements is crucial for successful outcomes and may involve:
Physical therapy: Physical therapy aims to regain hand strength, flexibility, and functionality following surgery.
Long-term finger splints: In cases where the border digits of the hand, such as the index and little fingers, long-term finger splints like the Oval 8 splint may be recommended. These splints can be custom-made using silver or gold, resembling normal jewellery while providing support to the affected fingers.
Hand and finger joint replacements with Dr Oscar Brumby-Rendell
Hand and finger joint replacements are innovative surgical procedures that offer significant relief for individuals suffering from hand joint conditions and injuries. They can restore hand function, alleviate pain, and improve overall quality of life. If you are experiencing persistent hand or finger joint pain or limited mobility, consult with a hand specialist like Dr Oscar Brumby-Rendell to determine if surgery is the appropriate treatment option for you.
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