What is thumb arthroplasty surgery?
Thumb arthroplasty is a surgical procedure to treat arthritis affecting the joint at the base of the thumb. This surgery helps restore mobility and function to the thumb.
What is a left thumb carpometacarpal arthroplasty?
Thumb CMC arthroplasty is a treatment option for thumb arthritis, a type of osteoarthritis found at the carpometacarpal (CMC) joint located at the base of the thumb. The CMC joint gives the thumb a wide range of motion – up, down, and across the palm, as well the ability to pinch.
Is CMC Arthroplasty the same as Lrti?
Ligament Reconstruction Tendon Interposition, or better known as LRTI, has been the traditional surgical treatment of Basal Joint Arthritis since the 1970s. The diseased trapezium bone is removed, and then typically the flexor carpi radialis tendon is cut.
Can I type after CMC arthroplasty?
You can use your hand for very light activities of daily living, such as eating, writing, typing, getting dressed, and brushing your teeth. Avoid any heavy gripping, pulling, or pinching with the thumb until your surgeon or therapist says you may do these things.
What is the CPT code for arthroplasty thumb?
Whether excisional arthroplasty is performed with an interposition tendon graft, tendon suspension, or allograft tightrope, all methods are reported with CPT code 25447, Arthroplasty, interposition, intercarpal or carpometacarpal joint.
How is CMC diagnosed?
Your symptoms and medical history as well as an examination of your hand and wrist can help to diagnose thumb CMC arthritis. X-rays of the thumb will often show signs of arthritis like bone spurs and cysts. Sometimes very early CMC arthritis does not show these changes on x-ray.
What is the CMC joint of the thumb?
The carpometacarpal (CMC) of the thumb is a saddle joint that permits a wide range of motion and is largely responsible for the characteristic dexterity of human prehension. This joint, located at the very base of the thumb, is subject to large physical stresses throughout life.
What does CMC arthroplasty stand for?
Carpal Meta-Carpal (CMC) Arthroplasty.
What tendon is used in CMC arthroplasty?
Description of Technique The thumb CMC joint arthroplasty is performed using an FCR tendon for ligament reconstruction combined with removal of the distal half of the trapezium, which is replaced with a life preserver-shaped spacer that is carved out of allograft cartilage.
What is the CPT code for CMC arthroplasty?
For the Carpometacarpal (CMC) Joint Arthroplasty procedure, codes 25447 for an Arthroplasty, interposition, intercarpal or carpometacarpal joints and code 25310 for a Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon OR code 26480 for a Transfer or transplant of tendon.
Where is the CMC joint located?
The CMC joints are located between the distal carpal row and the metacarpal bones (Fig. 13.54). Each metacarpal and its associated phalanges make up a ray of the hand. The CMC joints are enclosed by a single joint capsule.