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finger/thumb Finger joint replacement

Discussion in 'Other Joints Forum' started by PrincessDi, Apr 9, 2017.

  1. PrincessDi

    PrincessDi new member
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    9 months ago I severely broke my index finger. Due to the continuous pain and lack of movement I have decided to have a PIP joint replacement.

    Does anyone out there have experience of this procedure? I'm keen to hear about the first few weeks post-operatively.

    I'm a secretary and wondering how long I will be in a hand splint and in too much discomfort to type.

    Thanks in advance.


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  2. Jaycey

    Jaycey SUPER MODERATOR Moderator

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    @PrincessDi Welcome to BoneSmart! Hand surgery is certainly a specialty to its own. I am sure our members will chime in with their input soon.
     
  3. Josephine

    Josephine FORUM ADMIN, DIRECTOR Administrator

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    Not personal experience but I've had plenty of professional experience with them.

    For instance, other readers may not know that a PIP joint stands for Proximal Inter Phalangeal joint. Which is this one indicated here

    View attachment 56736

    The joint is replaced using either a hinge type implant (left) or a two part implant (right)

    View attachment 56737

    As for recovery, the finger might be small but it's very sensitive to trauma of surgery. It's also very nerve rich so could be quite painful. Therefore you will need to be very stringent with your pain medication and elevation. Keep your hand very high while it's painful. You will probably find it hard to keep it elevated at night when you are in bed. Perhaps, if you have soft headboard, you could use a safety pin to pin it by the bandages to the headboard so it doesn't end up at mattress level!

    As for rehab, you surgeon would most likely make it 2-4 weeks before you start doing that but, contrary to advice given elsewhere on this forum, good activity and compliance with exercising is essential to get back good functionality.

    Let me know if you need anything more.
     
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  4. PrincessDi

    PrincessDi new member
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    Thanks Josephine - that is very helpful. So returning to work in a week or so is probably not going to happen then.

    I look forward to hearing from others who have had the surgery.


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  5. Josephine

    Josephine FORUM ADMIN, DIRECTOR Administrator

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    Definitely not! It's a 6-8 week process, I'm afraid.

    And we don't have any other members with finger joint replacements yet.
    This "Other Joints" section is relatively new.
     
  6. PrincessDi

    PrincessDi new member
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    I have my surgery date - 23 May. I'm guessing there is still no one on here who has had their finger joint replaced?


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  7. Jaycey

    Jaycey SUPER MODERATOR Moderator

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    I think you are our pioneer in the finger joint area - leading the way.

    So glad you got your date and it's not a long wait. We will be here for you!
     
  8. PrincessDi

    PrincessDi new member
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    Oh lucky me . I will report back after surgery on the recovery process and results.


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  9. suse

    suse new member

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    Hi @PrincessDi ,
    I read with interest your post.
    I. Was wondering how your surgery went. I hope it worked out ok and you are now fully recovered.
    I have a date in June for two PIP replacements on right hand due to osteoarthritis. The joints aren’t too bad at the moment but have been getting worse very quickly over last two years and I don’t want to leave it till it’s too late and fusion would be only option. I need mobility.
    I’ve found it very hard to find anyone who has had this done who could reassure me, then I found your post. I would really appreciate your experience especially regarding your expectation and whether the surgery met that especially regarding function and mobility of the joint.
    I have time to change my mind I guess but if I do I won’t get the chance again.
    Many thanks
     

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