← Return to CMC Arthroplasty with STABLYX Implant

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CMC Arthroplasty with STABLYX Implant

Bones, Joints & Muscles | Last Active: Sep 11 6:37pm | Replies (147)

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@crnaretired

After multiple steroid injections to both of my chronically painful thumbs I had both right and left thumbs, respectively, repaired with the Stabylx implants for CMC arthritis graded at 3 1/2-4 with adequate in situ trapezium bone health (a requirement for this implant type) No other significant arthritis of either wrist. Surgeon hand specialist recommended the Stabylx implants. The first (Rt) in Aug 2020, the second (Lt) in Nov 2020. The recovery process is ongoing at this comment date. The recovery process is slow and arduous to be perfectly honest. Doing your daily therapy is vital for return of function and range of motion. Morning stiffness and pain is the norm at this point with the right thumb (10 months post op) less painful than the left (7 months post op). The morning pain and stiffness decreases for me with stretching exercises to a degree. I am still using ice when I overdo activity that causes pain. I am retired from healthcare so I am fortunate that I can gauge my daily activities. I avoid pain meds (generally never more than 1Gm of Tylenol/day) so that I can accurately assess my healing progress. Certain motions ( ie; buttoning pants, sealing a zip lock bag, squeezing a toothpaste tube) still cause sharp pain in the left with a much duller, pressure type of pain in the right. My hope is that it (pain on the left side) will decrease or become less acute over time. I received a steroid injection in the left thumb after a visit to the surgeon about a month ago in May, (6 months post op)for the continued left thumb/wrist pain and was told a revision may be necessary on the left. The steroid injection definitely helped. I’m posting here because this is the only forum I’ve seen that discusses this particular implant in depth with real patients discussing real issues. As far as strength is concerned the limiting factor to the pinch grip strength is how much or how little pain that it causes. My right is less painful so therefore much stronger than my left at present (currently at about 90% of pre op strength). Hope this post helps someone struggling with a decision to choose a surgery option. Any commentary by those who have had this procedure that are farther along in their recovery process would be greatly appreciated. Best wishes.

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Replies to "After multiple steroid injections to both of my chronically painful thumbs I had both right and..."

Thank you for the honest and comprehensive report. Stablyx has been discussed here several times, and I was unable to provide first hand info. After reading yours, I am glad I had the tightrope procedure, as my recovery time was similar but the pain was gone by 3 months on both unless I did something stupid.

Good luck on your continued recovery. I find even now that wearing a soft splint helps remind me to be careful.
Sue

After an additional steroid injection that initially helped for a short period of time the pain came back. Sharp and reliably reproducible with certain thumb movement. Underwent revision for removal of the Stablyx implant with conversion to a LRTI w/Arthrex mini tightrope on Sept 24. Now one day post op. Surgery went well without complications so far. Immobilized and using ice frequently with elevation of the left hand/arm. Percocet 5/325 barely touches the post op pain. Supplementing with Advil between doses. Will post more as able. I will evaluate how this revision goes and am considering having the right thumb revised as well if I eventually get better results with this procedure.