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What is an artificial finger joint replacement?
An artificial joint replacement is a procedure that replaces an arthritic or damaged joint with a prosthesis
What are the indications for an artificial finger joint replacement?
Most people who have arthritis in their fingers and continue to have pain after conservative treatment are candidates for artificial finger joint replacement surgery. The procedure is usually recommended for those who do not perform heavy lifting. Artificial finger joint replacements can also be recommended for patients who have suffered significant finger trauma. Artificial finger joint replacements can be performed on the knuckles or the middle joints of the finger.
What are the symptoms of arthritis in the fingers?
Pain in the joint
Swelling
Stiffness and limited movement of the joint
Increased pain with heavy lifting or repetitive movements
Artificial finger joint replacement surgery may not be recommended for patients who:
Are more active, since the prosthesis may wear out and loosen over time
Have poor bone or skin quality
Have an active joint infection
Have prior damage to nearby tendons or muscles
What are the benefits of artificial finger joint replacement surgery?
Artificial finger joint replacement surgery can help relieve pain in the joint allowing for better movement of the finger. It can also help realign bones.
How is an artificial finger joint replacement surgery performed?
Dr. Azouz will make a small incision on the back of the affected finger joint and spread out the soft tissues to expose the joint. The damaged ends of the bone that form the joint will be removed and an opening is created with a small cutting tool. Dr. Azouz will then shape and insert the prosthesis so that it fits your finger joint and then attach nearby ligaments around the new joint for support. The finger is placed in a splint and dressing.
How do the outcomes of a joint fusion and joint replacement differ?
A joint fusion is a surgery that joins the ends of the bones together. This creates a stronger and more stable joint but decreases the mobility of that joint. With a joint replacement, the damaged joint is replaced with an artificial joint to allow for improved finger movement. The type of surgery is usually determined by the patient’s age, activity level, and a detailed physical exam.
What is the anesthesia for artificial finger joint replacement surgery?
Patients are sedated for the surgery, to relax them and minimize pain during and after the surgery. Dr. Azouz will inject an axillary block, which usually lasts for up to 24 hours.
How long does it take to recover from artificial finger joint replacement surgery?
After the surgery, patients will continue to use the finger splint for 4-6 weeks to allow proper healing. Dr. Azouz will prescribe medications for any pain and discomfort. His patients will have routine follow-up visits in his office where he can determine when patients can return to their activities. Hand therapy may also be recommended to regain strength and mobility of the new finger joint.
What are the risks of artificial finger joint replacement surgery?
As with any hand surgery, some risks include infection and damage to blood vessels or nerves. Some complications of an artificial finger joint replacement include infection, loosening of the prosthesis, wearing off of the prosthesis, and worsening pain. If the implant gets worn out or damaged over time, additional surgery may be needed to repair or replace the artificial joint.
Can artificial finger joint replacement surgery be combined with other procedures?
Yes, artificial finger joint replacement surgery can be combined with any cosmetic procedures, tumor removals, or laceration repairs if there is multi-system trauma.
What is the cost of an artificial finger joint replacement surgery?
The cost of artificial finger joint replacement surgery can widely vary. Dr. Azouz will determine the surgery cost through a medical history and physical examination. Many insurance companies consider this surgery medically necessary, but the surgery cost is also heavily dependent on the deductible and coverage policy. If an artificial finger joint replacement is required after an injury at work, most workers’ compensation carriers can cover the cost of surgery.
What are the outcomes of a successful artificial finger joint replacement surgery?
An artificial finger joint replacement can restore mobility of the finger and make daily activities such as lifting a coffee mug or buttoning a shirt pain-free. The artificial joint can improve arthritic pain and swelling.
