Trapeziectomy: A Treatment for Thumb Arthritis
What is Thumb Arthritis?
Thumb arthritis affects the joint at the base of the thumb (trapeziometacarpal or TMC joint), where the cartilage wears down over time. This leads to pain, swelling, stiffness, and reduced mobility. It is more common in women over 40 and can result from aging, genetics, injury, or repetitive use.
What is a Trapeziectomy?
A trapeziectomy is a surgical procedure that removes the trapezium bone at the base of the thumb. This creates space in the joint, reducing friction and pain while improving function. A tendon graft or implant may be used to support the area.
Symptoms of Thumb Arthritis
Pain at the base of the thumb, Swelling and stiffness, Weak grip strength, Difficulty with daily activities (e.g., opening jars, turning keys), Changes in thumb shape,
Benefits of Trapeziectomy
Pain relief, Improved thumb movement and function Long-lasting results with a low risk of recurrence
Risks of Surgery
Infection or bleeding Nerve or blood vessel injury Stiffness or scarring Temporary weakness in the thumb Need for further surgery in rare cases
What to Expect Before Surgery
Consultation with a surgeon to discuss treatment options X-rays or tests to assess the condition Instructions to stop smoking and avoid certain medications before surgery
Recovery Process
Surgery is usually performed as a day procedure A bandage or splint is worn for 2-6 weeks Stitches are removed in 10-14 days Physiotherapy may begin after 2-4 weeks Return to work in 3-6 weeks (depending on the job) Full recovery takes approximately 3-6 months
Aftercare Tips
Keep the hand elevated to reduce swelling Follow wound care instructions Watch for signs of infection (redness, swelling, or pus) Gradually return to daily activities as advised by your doctor