Thumb Surgery Animation with the BioPro Modular Thumb Implant
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- Опубліковано 25 тра 2020
- The animation describes a thumb joint replacement surgery for treating basal thumb arthritis.
The BioPro Modular Thumb Implant is a two-piece implant consisting of a head and a press-fit plasma-sprayed stem. The implant is supported by two decades of combined clinical experience and research with published 10 year outcomes.
Traditional surgeries, such as the LRT procedure involve removing the trapezium bone at the base of the thumb and while pain relief is often predictable, it may cause a loss of strength.
Learn more at bioproimplants.com - Наука та технологія
What follows is my response to iamlight's question. I received a Biopro thumb implant last week in my left hand. I use my hands extensively for everything from gardening to precision machine work. I also do micromanipulation under a microscope, and I play the piano. (Not professionally, but it is very important to me) The LRTI approach (using a stripped and rolled up tendon) dates back to 1945. I am not impressed with its long and painful recovery, its loss of thumb length or with its loss of dexterity. Those are the main reasons I chose the Biopro approach over LRTI.
I spent the last 2 years making sure I wanted a Biopro implant, while living with two essentially crippled hands (in the middle of a Covid pandemic) After extensively canvassing the western US I found an experienced doctor who uses Biopro implants, and who also does the LRTI method where the implant is inappropriate. We decided together that the implant made sense for me personally. I will publish his name only if he consents.
I also considered LRTI surgery. I spoke to a doctor in the medium sized city where I live who tried to convince me that LRTI surgery is the only acceptable method. His points were:
1. The Cobalt Chrome ball will shatter and fill my tissue with unremovable shards. I pointed out that my total knee replacement is the same material. He said the same thing would happen to my knee. I have been unable to find ANY documented cases on ANY joint replacement where this has happened. Cobalt chrome is very strong and very hard. I am an engineer and I am familiar with similar materials. Perhaps this could happen in a violent car crash, but again, I could not find any actual cases where this has happened.
2. He said that the only material that can be used for repairing body parts is material that is made from my own body. Perhaps he is referring to stem cell treatments, but I could not find anyone who has perfected this method for thumb repair. I could not find anyone doing stem cell repair of CMC joints.
3. And finally, he said that an infection will develop on the metal surface of the ball that will be immune to antibiotics, and that it would be rejected by my body's defenses.
All of the above sounds like weak hearsay that has been circulated by doctors who have their own axe to grind. I'm not sure exactly what that axe would be, but I have found that many times in life we need to make decisions with imperfect information. My knee replacement is 8 years old, and I almost never think about it. I have had no problems with my knee, and in my opinion it is one of modern medicine's greatest inventions. In my opinion the Biopro CMC thumb implant is similar to a hip or knee replacement. The track record there is very good. In the end we need to collect as much information as we can and then move forward. The final decision is mine, and I am comfortable with my choice.
If there is interest I will report back here occasionally with an update. So far I can say that the surgery is painful, but after a week or so the pain level has dropped to "acceptable, though still uncomfortable" level. I would compare it to a broken finger or other small bone.
There you have it...
How long did it take for the pain to completely go away? How is your hand doing now?
@@miicro First surgery late May, second one late August. First one is nearly pain free now (Oct 1); I have full range of motion and 60 lb grip strength in both hands as of Friday and the other joints in my hands are free of osteoarthritis. This is more than I need for the things I do. Second hand still a bit achy, primarily in the morning for a half hour or so, but basically it is following the path of the first one. PT is complete on the first hand, but still going on with the second (right) hand. I am right handed. I have resumed playing the piano, but carefullly, and I am fully capable of micro-manipulation, though I am keeping my work sessions to 1/2 hour on and 1 hour off. I am back to my old 120 wpm keyboarding skill level. I have been doing all the homework exercises, and the physical therapist says that it shows in the results.
All in all, a wondrous gift. We live in an age of medical miracles.
Good luck,
I am facing exact same scenario. Lots of research on arthoplasty. Not convinced of LTTI. Finding a compliant Dr. a gumption trap! ????
Saw my local Ortho Surgeon, and was basically told my only real option is the old LRTI method.
Didn't buy it from the DR, realizing that's been her tried and true method, and she hasn't been trained for things like this.
Need it on both hands, but am in a holding pattern until this Pandemic settles down, and I can find the right Dr.
While this looks good, i wasn't aware of it, but my Dr. did a CMC Suspensionplasty using the FiberLock suspension system which is a single-incision suture suspensionplasty using the latest in anchor and suture technology. I was off pain meds in 3 days and would experience no pain unless I tried hard to use my hand. I was in wrapped brace for the first week and then a removable brace for 3 more weeks. Then PT which I actually started on my own quite a bit earlier. Going to have my other hand done ASAP.
OMG I can’t wait to get this done due to excruciating pain
Can anyone recommend a surgeon who does performs this surgery in Los Angeles? I would appreciate it. My insurance company keeps sending me to cosmetic surgeons 🤦🏻
Any surgeons experienced with the procedure in the Philadelphia/Doylestown area?
We have a surgeon finder on our website, bioproimplants.com/patients#findsurgeon, which can direct you to all users in your area.
Can anyone recommend a surgeon who does this in the Chicago area? Thanks!
You can search for surgeons on our website here: bioproimplants.com/find-a-thumb-surgeon
That is awesome :-)
How is it I didn't see this before doing a trapezoidectomy therex with tight rope?
Take a look at my comment in response to your question. Good luck.
I need this done however there is only one doctor in the northeast that just started using this product. I don't want to be his ginny pig.
We would be happy to help get you in touch with an experienced surgeon. Please reach out to us at info@bioproimplants.com, as there are more surgeons in the northeast performing this surgery.
Someone has to be a guinea pig, so go ahead please