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Prostheses & Implant Outcomes

Could thumb joint surgery bring you relief from pain?

The short answer: Maia prosthesis surgery can help many people with advanced thumb arthritis. In this study, people were very happy with the surgery (8.8 out of 10) and implants lasted five years in 86.4% of cases.

If your thumb hurts a lot, you are not alone. This article talks about a surgery that may help people with rhizarthrosis, which is arthritis at the base of the thumb. The study looked at how well a small implant, the Maia prosthesis, worked over five years.

Here’s what you’ll learn:

  • What rhizarthrosis is and how it affects you.
  • The results of using the Maia prosthesis to fix thumb pain.
  • What to expect after surgery and who might benefit.

In this article:

What is rhizarthrosis?

Rhizarthrosis is a long word for a common problem. It is arthritis at the base of the thumb. This joint lets your thumb move. It helps you grip, hold things, and pinch. Arthritis here can hurt, and it can make your thumb hard to move.

What did the study find?

You may wonder why this matters. The study found good results for a surgery called trapeziometacarpal joint arthroplasty, or TMA for short. This surgery replaces the damaged thumb joint with a small implant. In this study they used the Maia prosthesis.

The researchers followed 22 patients who had the surgery at least three years ago. Here is what they found:

  • Patients were very happy with the surgery, giving it an average score of 8.8 out of 10.
  • The surgery helped improve thumb movement and strength, though the operated hand was a little weaker than the other hand.
  • The survival rate of the implant was 86.4% after five years, meaning most implants lasted at least five years without problems.

How did Maia prosthesis surgery go?

Let’s look at the numbers from the study to see how patients felt after surgery:

Measurement Value after surgery Compared to the other hand
Radial abduction (thumb movement) 53 degrees 89%
Key pinch strength 4.7 kg 79%
Grip strength 8 kg 81%

However, the surgery has risks. Some patients needed a second surgery to fix problems like dislocation or loosening of the implant. On the positive side, there were no infections reported during this study.

What are common questions?

What is recovery like after TMA surgery?

Most patients get stronger, move better, and have less pain over time.

How long does the implant last?

In this study, the implant lasted at least five years for most patients, with a survival rate of over 86%.

Is TMA surgery risky?

While there are risks like implant dislocation, infection rates in this study were zero, which is encouraging.

Does it work for everyone?

It seems to work well for patients with advanced thumb arthritis. Talk with your doctor to see if it is right for you.

What does this mean for you?

This study gives us hope for people with thumb arthritis. Maia prosthesis surgery can help you move better, have less pain, and make people happy. If your thumb pain is making daily life hard, talk with your doctor about this option.

This site explains thumb pain and rhizarthrosis using studies like this one to make the ideas easier to understand. Feel free to read other articles.

Disclaimer

This article is for information only and does not give medical advice. Always talk to a healthcare professional about your own situation.

Who did the study and when was it published?

Correia, G.; Ribeiro, E.; Correia, R.; Ribau, M.; Varanda, P.; Ribeiro, J.; Rodrigues, L. F.; 2024. Trapeziometacarpal Joint Arthroplasty: Medium-Term Clinical Outcomes and Survival

Educational summary of published research, not medical advice. Always discuss your treatment with a qualified hand surgeon or therapist.
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