Thumb Arthritis Surgery (Arthroplasty) in Portland, OR
Thumb basal joint arthritis is a degenerative condition that causes pain, weakness, and loss of grip strength. When conservative treatments fail to provide relief, thumb arthroplasty (joint replacement) can restore function and eliminate pain. Dr. Sam Bartholomew, MD, FACS specializes in this precise surgical procedure, using meticulous technique to restore thumb strength and mobility.
What is Thumb Arthritis?
Thumb basal joint arthritis (CMC arthritis) develops when the cartilage protecting the joint at the base of the thumb breaks down. This joint is critical for pinching and grasping, so arthritis in this area significantly impacts hand function.
Thumb arthritis is common as we age and is more frequent in women. The condition develops progressively and can severely limit your ability to perform daily activities like opening jars, typing, or holding objects.
Symptoms and When to Consider Surgery
Symptoms of thumb arthritis include:
- Pain or soreness at the base of your thumb
- Swelling and stiffness at the base of the thumb
- Loss of grip and pinch strength
- Difficulty performing daily tasks
- Visible enlargement at the base of the thumb
- Reduced range of motion
Consider surgery if:
- Pain interferes with daily activities and work
- Conservative treatments (rest, anti-inflammatory medications, splinting, injections) have not provided adequate relief
- You have significant loss of grip or pinch strength
- The arthritis is advancing and limiting your quality of life
The Thumb Arthroplasty Procedure
During your consultation, Dr. Bartholomew will examine your thumb, review imaging, and discuss your goals. He'll help determine if you're a good candidate for arthroplasty versus other treatment options.
Thumb arthroplasty is performed as an outpatient procedure under local or general anesthesia. Dr. Bartholomew will:
- Make an incision at the base of the thumb
- Remove the arthritic joint surfaces
- Create a new joint using specialized surgical techniques and materials
- Restore proper joint alignment and function
- Close the incision and apply a protective dressing
The procedure typically takes 45-60 minutes.
Recovery Timeline
Recovery from thumb arthroplasty is gradual but steady:
- Days 1-3: Rest, elevation, and ice for comfort
- Week 1-2: Wear protective splint; return to light activities
- Weeks 3-6: Progressive hand therapy to restore motion and strength
- 6-8 weeks: Most patients regain significant hand function
- 3-6 months: Optimal results as grip strength and flexibility improve
Preparing for or recovering from thumb arthroplasty? Learn more about post-operative instructions and recovery tips.
Why Choose Dr. Bartholomew for Thumb Arthroplasty?
As a board-certified plastic surgeon with extensive hand surgery training, Dr. Bartholomew has the expertise to perform thumb arthroplasty with precision. His meticulous surgical technique ensures optimal joint alignment, function restoration, and natural appearance of the thumb.
See Real Patient Results
From relieving thumb pain to restoring grip strength, we've helped many patients regain hand function and quality of life. Explore our gallery.
Schedule Your Thumb Arthritis Consultation Today!
Is thumb pain limiting your quality of life? Contact Samuel V. Bartholomew, MD, FACS to discuss whether thumb arthroplasty is right for you. Dr. Bartholomew will evaluate your condition and recommend the best treatment approach.
Frequently Asked Questions
How much does thumb arthritis surgery cost?
The cost of thumb arthroplasty varies depending on the surgical technique used. Since this procedure addresses a medical condition causing pain and limiting function, it is typically covered by insurance. During your consultation, we'll provide a cost estimate and help verify your insurance coverage.
Is this covered by insurance?
Yes, thumb arthroplasty is typically covered by insurance because it relieves pain and restores function. Insurance classifies this as reconstructive surgery because it addresses a degenerative joint condition.
What is the recovery time?
Initial recovery takes 2-3 weeks, with gradual return to hand function over 6-8 weeks. You'll need to wear a protective splint for several weeks to allow the new joint to heal.
Will I be able to use my thumb normally?
Yes, one of the primary goals of thumb arthroplasty is to restore normal thumb function. After recovery and hand therapy, most patients regain the ability to pinch, grasp, and perform fine motor tasks painlessly.