CMC Joint Repair in Cleveland, OH
The Carpometacarpal (CMC) joint, located at the base of your thumb, is the most active joint in the hand. It allows you to pinch, grip, and rotate your thumb. Because of its constant use, it is a common site for osteoarthritis. When the cartilage wears away, the bones rub together, causing “grinding” pain that can make simple tasks—like opening a jar, turning a key, or buttoning a shirt—nearly impossible.
Dr. Rodney Green specializes in CMC joint reconstruction (Arthroplasty). When braces, injections, and anti-inflammatory medications are no longer enough, this procedure can permanently eliminate the source of your pain and restore the functional use of your hand.
Why Consider CMC Joint Repair?
The goal of CMC repair is to remove the “bone-on-bone” contact that causes chronic pain. You may be a candidate for surgery if:
- Persistent Pain: You have a deep, aching pain at the base of the thumb that worsens with pinching or gripping.
- Loss of Strength: You find yourself dropping objects or unable to open containers.
- Deformity: The base of your thumb appears swollen or has developed a “bump,” and the thumb may start to pull inward toward the palm.
- Failed Conservative Care: You have tried splinting and cortisone injections without long-term relief.
The Procedure: LRTI (Ligament Reconstruction & Tendon Interposition)
Dr. Green typically utilizes the LRTI technique, which is considered the “gold standard” for long-term thumb stability and pain relief.
- Removing the Source: Dr. Green removes the trapezium, the small bone at the base of the thumb that is damaged by arthritis.
- Creating a “Cushion”: A portion of a nearby tendon (from your own wrist) is repurposed. It is rolled up and placed into the space where the bone was removed, acting as a natural, biological shock absorber.
- Ligament Reconstruction: The remaining tendon is used to stabilize the thumb joint, ensuring it doesn’t “slip” or lose its range of motion.
- Long-Term Results: Because this uses your own natural tissue rather than a metal or plastic implant, there is no risk of the “part” wearing out over time.
Recovery & Rehabilitation: The Path to Function
CMC repair requires a period of healing to allow the new biological “cushion” to stabilize.
- The First 2 Weeks: Your thumb and wrist will be protected in a soft cast or splint to ensure the reconstruction remains in place.
- Gradual Mobilization: After the initial healing phase, Dr. Green will transition you into a smaller thumb splint and begin gentle range-of-motion exercises.
- Hand Therapy: Professional hand therapy is a critical component of recovery. A therapist will help you regain your pinch strength and fine motor skills.
- The Timeline: While pain relief is often felt early on, full grip strength typically returns within 3 to 4 months as the new ligament matures.
Important Note on Your Recovery & Results
Every individual’s body is unique, and as such, recovery timelines and the final degree of grip strength will vary from patient to patient. Adherence to your hand therapy program and wearing your splint as directed by Dr. Green are the most important factors in a successful outcome.
While Dr. Green and our team are here to support you, your safety is a partnership. It is vital that you contact our office immediately at 440-449-8880 if you notice any unusual symptoms, such as excessive swelling, numbness in the fingertips, or a fever. Early communication ensures we can provide the necessary guidance to keep your recovery on track.
CMC Repair FAQs
Will I lose movement in my thumb?
No. While it takes time to rebuild strength, most patients regain nearly full range of motion. The primary goal is a pain-free thumb that allows you to return to all your favorite activities.
Can I have both thumbs done at once?
Dr. Green strongly recommends performing surgery on one hand at a time. Because the thumb is essential for almost every personal task, you will need one fully functional hand during the initial 6–8 weeks of recovery.
Is the surgery performed under general anesthesia?
Typically, yes, or under a regional nerve block with sedation. This ensures you are completely comfortable throughout the reconstruction.
How long do the results last?
LRTI is a permanent reconstruction. Once the arthritic bone is removed and the joint is stabilized with your own tendon, the results are designed to last a lifetime.
Consultation Checklist: Questions to Ask Dr. Green
- Based on my X-rays, how advanced is my CMC arthritis?
- Will I need a custom-molded splint from a hand therapist after surgery?
- How long will I need to be off work if my job requires heavy manual labor?
- What are the specific exercises I can do at home to help my recovery?
Achieve Your Dream Body With Our Experienced Surgical Team
We understand that your body is unique, and your goals for surgery are too. That’s why we offer a variety of surgical procedures to help you achieve your desired results.
Dr. Rodney Green is dedicated to providing you with the highest quality care and support. We will work with you to create a personalized treatment plan that meets your individual needs and expectations.
Call us at 440-449-8880 or email us at drgreen@dr-rodgreen.com to take the first step toward the body of your dreams. to take the first step toward the body of your dreams.