Would like hear from people with finger joint replacements or fusions

Posted by laury @laury, Jul 14, 2012

I have severe osteoarthritis in my right hand. I would like to hear from people who have had joint replacements or fusions in their fingers because I am not sure which is the best treatment for me. Thanks

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I've been getting a shot in my middle finger knuckle every six months now I need to get it every four months.
I am considering getting the knuckle replaced in January, is it worth it or better to keep getting the shots?
I would like to hear from anyone that has had the replacement in the last 18 months.

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@shellrusk

Hi everyone… I’ve had my right hand pointer finger fused with a screw. ( may 2022) Pain is gone and I’m happy that I did it. Haven’t had any issues with it being fused. If anyone has questions feel free to ask

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What does your finger look like after healing? Did the surgery make it look normal? And what kind of mobility do you have?

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@gregv

Fusion vs replacement vs cleaning out the joint - depends on what you want that joint to do after the surgeons are done. Surgeons in my immediate area measure success solely on pain elimination - if the joint hurts, take it out, it doesn't hurt anymore, success!
Not. My big toe self-fused a several years ago - osteoarthritis. I used to do a lot of hiking in the mountains - difficult trails and climbs, but before surgery I walked with a limp, little toes and outside of foot cramped, and I often had to walk backwards to get out of some of the steeper areas. Surgeons wanted to completely fuse the joint. I found a surgeon in Portland who opened the joint and cleaned it out. That was over 2 years ago - I'm 70 and still walking straight and pan free - back do doing the difficult hikes.
Same with my left thumb - they wanted to do the LRTI or Tightrope procedures - take the joint out and it won't hurt anymore - and they told me I could still play golf! Yay! I appreciate the skills it takes to play that game but I haven't played since I was 14. I work with wood - sometimes odd shapes, and pinch strength is very important to me. LRTI eliminates pinch strength - so these surgeons all told me and that makes sense, but not for me. I had the Stablyx implant instead, 1 year ago, got my pinch strength back in a month. Still doing strength and flexibility exercises, but it is much better now.
We are individuals, and will react differently to each procedure - nothing is 100%. So I decided that the risks were worth taking to get what I wanted. So far so good. Some day I'll have to stop using these joints in the manner that I do, but not today.
Good luck to you all.
GregV

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I’m interested in the joint clean out method, and wondering which doctor you found, was it Portland ME or OR? My current orthopedist will only offer me a joint fusion.

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@ginafaf

I’m interested in the joint clean out method, and wondering which doctor you found, was it Portland ME or OR? My current orthopedist will only offer me a joint fusion.

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For my big toe joint, the doctor was at Portland, Oregon, OHSU, Dr. Otto. I believe she is still there. It has been 4 years since surgery, and still walking straight and pain free, still doing the good, long hikes in the mountains.
Good luck!
Gregv

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@shellrusk

Hi everyone… I’ve had my right hand pointer finger fused with a screw. ( may 2022) Pain is gone and I’m happy that I did it. Haven’t had any issues with it being fused. If anyone has questions feel free to ask

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Mine is my middle finger. I’m going to have the joint fused at the top but I want to know do they removed all enlarged area around the knuckle when they fuse it.

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