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lioness (@lioness)

Bone on bone thumbs

Bones, Joints & Muscles | Last Active: Jun 13, 2020 | Replies (101)

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Hello Stoney. My doc is suggesting thumb replacement and I just wanted to ask you if you think a person living alone could undergo this procedure successfully? I have had five hip replacements and two shoulder surgeries (looking at shoulder replacement also). But my thumbs are useless to me at this point. I'm' also having very bad wrist pain. Any insight you could provide would be appreciated. You are more than a year out now – so I'd be interested in the big picture from you. I don't know if I can bear another winter with this much pain in my hands.

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Replies to "Hello Stoney. My doc is suggesting thumb replacement and I just wanted to ask you if..."

I would have gone to Mayo if I could do it over. The brand of the implant I received from a non-Mayo clinic was called Stablyx and it is only the "ball" of your thumb joint's ball and socket type mating. The "socket" part is just surgically redefined trapezium to accept the ball of the implant, but get this, there's still no cartilage on your trapezium socket, just raw bone. Other prosthetic implants have a two-part system, which makes more sense. I don't know how stable those would be or how long they would last.
Now to your question… If you plan ahead with clothes (sweat pants, etc), meal preparation, bathing tools like an extended back brush you could do this alone if you do one thumb at a time. I had three months between thumb procedures. It hurts. No doubt about it. Stay up on meds. I had a pain pump and nerve block for the first 4 days. All in all, it was worth it. My thumbs were gone. They still have pain associated with overuse but at least I can use them again. Let me know if I can answer anything else I may have overlooked.

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