CMC Arthroplasty with STABLYX Implant

Posted by joynett @joynett, Nov 14, 2018

Hello! 😃 Has anyone had this procedure? I had the LRTI procedure on my left thumb/wrist 10 years ago with great results. But this time, my surgeon suggested the STABLYX implant due to my age and lifestyle. My surgery is scheduled for 11/21/2018 and would love to hear of anyone's experience who has had this procedure done. Thanks!

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I would love to know how your implant worked and how you would compare the two procedures as far as recovery, results, etc.

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@shamu

Hello All,

I had my second Stablyx implant, this time my left thumb, done on 11/26/2019. I must say that so far its been a different experience than the right thumb I had done back on May 23rd 2019.

The surgery went great. Pain was about the same as the right thumb. I got out of the temp cast 10 days after surgery. All was good. Then a freak incident happened. I had a U.S. flag in my flag holder and it had fallen out and was on the bushes. I grabbed the flag pole in my right hand and was inserting a small wood spacer in the holder with my left hand and POP! Something in my left hand popped so loud my wife standing next to me herd it. I went to my knees in pain!

I regained my senses and called the 24 hour number since this was a Sunday afternoon. I was told to brace it so I went to CVS and bought a wrist support. This did help stabilize the hand and relive most of the burning pain. I was able to see Dr. Vo the following morning. X-rays were taken. The thumb was fine. No movement of the implant was visible. The pop and injury were in the tendons in my hand that run down the inside of my fore arm. Large bruises were now present and the pain was located at the inside side of my wrist below the palm. When Dr. Vo just touched the area it hurt very bad! I almost gave him a right hook when he pressed on it. LOL.

So I was given a prescription for a steroid since I can not take harsh anti inflammatory drugs. This pain did subside over the next few days and week. The pain did not go away completely and when I lift anything over 10 pounds I still feel a pull in those tendons.

I probably did to much to fast. I had taken a few cases of water to my dad earlier in the day and that was a NO NO! That probably stressed the hand and tendons.

I am doing well at this point. My right hand is feeling some discomfort due to that hand having taken on the main responsibility after the surgery on the left hand. I am mostly pain free when I am just at rest or doing minor things. The drastic weather changes do cause some aching. I can button most of my pants now with some discomfort. The pushing of the thumbs trying that type of action is going to take a bit to get well. I can open bottles with twist caps. I don't think I am ready for push ups or hanging from a chin up bar. Hummmmm? I don't do either of those anyway! LOL!

I am on the road to recovery. I am still having less pain than I had from the arthritis. I do not regret anything so far. It has only been 9 months since surgery on my right thumb and 2 1/2 months on my left thumb. I have been reading some of the 12 and 24 month surveys that are out there now and I feel I am right in line with what I have read and I am very confident of a 100% recover and looking forward to many years of 2 THUMBS UP!

Shamu

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I was just going through these posts and came across your popping injury. I did the same thing trying to steer a snowmobile. I almost cried but not from pain. I thought I screwed up my surgery. It was the weekend and that didn't help. I was relieved to find out it was tendon related. That was two years ago. No remaining damage. I'm glad I did both thumbs and I'm probably at 90+ % power. I still get pain if I push it with a hands-on project. Good luck with your healing.

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@shamu

Hello all,

This is my first post here or anywhere for that matter concerning my Stablyx CMC Joint replacement.

I am a 60 year old male and I still work in a machine shop as shipping, inspection, some building maintenance and deliveries. So I use my hands a lot!
I have been having Sevier pain in both hands for several years. I had several rounds of injections which would help with the pain but only for 4-6 weeks. I could only receive these shots every 3 months. After 2 rounds of shots I said enough! What are my options?

So in early in 2019 I was looking for info on this procedure without a lot of results. Thankfully my Ortho Dr., Dr. Duc Vo in the DFW area was able to explain and convince me that at my age and activity level that the Stablyx Joint is the way to go. The standard balling up of tendons to make a joint and the down time for recovery and long time in a cast with many weeks or rehab were not an option for me. I did find some info on YouTube. and watched the procedure. Having been in fabrication of parts, aircraft interior construction and just many years of all kinds of varied mechanical device fabrication, I saw and understood just what Stayblyx was doing here. I went all in.

So on May 23, 2019 I had this procedure done. As with any surgery there is always apprehensions. Let me just say that for my first surgery in 60 plus years on the planet, this went amazingly well. Dr. Vo is great! I went in on a Thursday at 8:00 am and was out by 10:00am.. The pain level was a steady 5-8. Constant pressure with very little Sevier pain. I took a few pain pills over the next few days, maybe 4 total. I kept it iced down and did what I was instructed to do.

10 days later I went in for the follow up where the ace bandage and filler lining that kept my thumb immobile was removed. Other than the bruising and the hidden stitches all was good. I did 6 therapy sessions over the next 3 weeks. The rehab people were amazed at my ability to function. After just 5 weeks out of surgery I was out of rehab. I could do all of their tasks well.

Lets just say that after 5-1/2 months I am doing very well. I still have some pain if I abuse my right hand. The pain is no where near what it was prior to surgery. I am going in on Nov 21, 2019 for the left hand. I guess my nick name may change from Shamu to TWO THUMBS! lol.

I am good with this procedure so far and have ZERO regrets.

SHAMU

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Wow, was I glad to stumble upon your post. I've been seeing Dr. Vo for my thumb as well and after several failed attempts with steroid injections, I am scheduled to have the Stablyx surgery on July 7th. Although I trust Dr. Vo and think he is an excellent doctor, there is alway apprehension when it comes to surgery. So it is nice to read about a patient of his that had the procedure done and had ZERO regrets. Thank you for posting.

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Hello lkd, I'm interested to know how your surgery went with Doc Vo and the Stablyx implant. Any issues or are you as satisfied as Shamu was? I'm considering using Doc Vo for my surgery as well with the Stablyx implant.
Thank You -
Wallyworld

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@stoney

I was just going through these posts and came across your popping injury. I did the same thing trying to steer a snowmobile. I almost cried but not from pain. I thought I screwed up my surgery. It was the weekend and that didn't help. I was relieved to find out it was tendon related. That was two years ago. No remaining damage. I'm glad I did both thumbs and I'm probably at 90+ % power. I still get pain if I push it with a hands-on project. Good luck with your healing.

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Hey Stoney,

Sorry it took so long to post back at you. I am at 14 months now since I had my right thumb chopped off. I am at 8 months plus on the left thumb. I am still having some pain issues with the tendon pop. Its not so prevalent if i dead lift 25-30 lbs but if I try and pick it up and bend my elbow upwards. I get some burn. Lets me know to stop! Lol.

I would say that my right hand has about 60-75% of its GRAB YOU strength. The left is still only good for about 35 % strength. Its probably all related to the tendon and the fact I am using the right so much more.

As far as any pain, putting on these dam rubber gloves dealing with all this Covid crap hurts. Its the shoving the hand in and trying to get my fat hands to fit. Lots of pushing and that is irritating. I call it more of an ache. It subsides as soon as I stop pushing. I also still get aches with drastic cold fronts or weather changes. My therapist told me barometric pressure changes effect all these type things. I also read that some place so I guess we build up or lose pressure. BOOM! Lol.

I am still not looking back. The pain I have is bearable, not constant and it's predictable. I know when to not use my left hand. I don't think I will ever take up gymnastics at 61 but would like to be able to hold onto a bar and hang and hold my 300 lbs of fun up. No chin ups yet. Of Coarse I never did them anyway. Lol.

SHAMU

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@lkd

Wow, was I glad to stumble upon your post. I've been seeing Dr. Vo for my thumb as well and after several failed attempts with steroid injections, I am scheduled to have the Stablyx surgery on July 7th. Although I trust Dr. Vo and think he is an excellent doctor, there is alway apprehension when it comes to surgery. So it is nice to read about a patient of his that had the procedure done and had ZERO regrets. Thank you for posting.

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Ikd,

How did it go? You have had the new joint for a month now. I have my opinions about the therapists in the area. All I can say id go and make them work you. Don't sit there and let them work on others around you and let you sit with a warm wrap on and then say oh it hurts so stop and go home, pay us now. Its going to hurt some. Let it. Do the stretches and the exercises where they have you slide the thumb around a ball. Go to work if you do. Use it but in reasonable amounts.

I work in a shipping and parts manufacturing area. Small zip lock bags kick my butt! Its the slid and pushing between the thumb and forefinger. Do 300 of those pop open, place in part, seal it closed and it will let you know about it for a time. I still do it anyway. It will get stronger and one day not bother me at all I am sure.

Tell Dr. Vo I say Hi!

SHAMU

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@wallyworld

Hello lkd, I'm interested to know how your surgery went with Doc Vo and the Stablyx implant. Any issues or are you as satisfied as Shamu was? I'm considering using Doc Vo for my surgery as well with the Stablyx implant.
Thank You -
Wallyworld

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Hey wallyworld,

I think the world of Dr. Vo . He seems to have an aggressive recovery plan compared to some. I think his advise to go to work and or be active is dead on. Read my posts that I just responded to. I'm sold. I think by the time I have 2 years behind on both thumbs I will not even think it ever happened. Best of luck.

SHAMU

REPLY
@wallyworld

Hello lkd, I'm interested to know how your surgery went with Doc Vo and the Stablyx implant. Any issues or are you as satisfied as Shamu was? I'm considering using Doc Vo for my surgery as well with the Stablyx implant.
Thank You -
Wallyworld

Jump to this post

Hi Wallyworld, The surgery went well, pain was well controlled before they sent me home. Only needed the pain meds the day of the surgery and into the next day. Tylenol and ibuprofen managed it well. However the recovery has been slow. I got out of the cast after 2 weeks and started physical therapy excercises the next day, which was a Thursday. On Friday my hand was swollen like a balloon and was throbbing so bad I was in tears and had to take the pain pills. Dr. Vo said I wasn’t ready to come out of the cast so it went back on for another 5 days. So I’ve only been out of it a week and am doing the exercises but I am still swollen and have throbbing pain by the end of the day. I do have Lupus and it has caused the inflammation issues so I am just having to push thru it, but I also use the pain medication. I did notice last night that the swelling has calmed down so I am hoping I have turned the corner and it will go uphill from here. It’s too soon for me to say weather it has worked or not. Right now I’m just working on the mobility part but Dr. Vo said in 2 weeks we will start on the strengthening. Because of my underlying conditions and COVID, I do the P/T at home and I like it better that way. Dr. Vo has been wonderful and helpful along the way. I am hopeful it is all worth it in the end.😀 If you do decide to go for it, I am sending you well wishes for a successful surgery. P.S. Warm heat on the hand seems to do much better for me than ice. So keep that in mind if icing hurts.

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@shamu

Ikd,

How did it go? You have had the new joint for a month now. I have my opinions about the therapists in the area. All I can say id go and make them work you. Don't sit there and let them work on others around you and let you sit with a warm wrap on and then say oh it hurts so stop and go home, pay us now. Its going to hurt some. Let it. Do the stretches and the exercises where they have you slide the thumb around a ball. Go to work if you do. Use it but in reasonable amounts.

I work in a shipping and parts manufacturing area. Small zip lock bags kick my butt! Its the slid and pushing between the thumb and forefinger. Do 300 of those pop open, place in part, seal it closed and it will let you know about it for a time. I still do it anyway. It will get stronger and one day not bother me at all I am sure.

Tell Dr. Vo I say Hi!

SHAMU

Jump to this post

Hi Shamu, The surgery went well, pain was well controlled before they sent me home. Only needed the pain meds the day of the surgery and into the next day. Tylenol and ibuprofen managed it well. However the recovery has been slow. I got out of the cast after 2 weeks and started physical therapy excercises the next day, which was a Thursday. On Friday my hand was swollen like a balloon and was throbbing so bad I was in tears and had to take the pain pills. Dr. Vo said I wasn’t ready to come out of the cast so it went back on for another 5 days. So I’ve only been out of it a week and am doing the exercises but I am still swollen and have throbbing pain by the end of the day. I do have Lupus and it has caused the inflammation issues so I am just having to push thru it, but I also use the pain medication. I did notice last night that the swelling has calmed down so I am hoping I have turned the corner and it will go uphill from here. It’s too soon for me to say weather it has worked or not. Right now I’m just working on the mobility part but Dr. Vo said in 2 weeks we will start on the strengthening. Because of my underlying conditions and COVID, I do the P/T at home and I like it better that way. Dr. Vo has been wonderful and helpful along the way. I am hopeful it is all worth it in the end.😀

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@shamu, Boy you have been through the pits. I understand the recovery seems like it's slow. Before my Fusion Back surgery I was so positive. Since it was a big surgery I can't bend, twist or lift over 10 pounds. I wear a brace. It's been 2 months since the surgery and I have many months ahead to let this heal. I have soft bones so I have to be careful. I was in a lot of back pain the last two days, but better today. Hope things go better for you, but sometime it's takes longer than what we want it too. I have depression, which doesn't help. But, we have mental illness in our family. So, it makes the recovery harder. Hope your swelling and pain gets better.

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