Name of the Procedure:

Metacarpophalangeal Joint Implant (L8630)

Summary

A metacarpophalangeal (MCP) joint implant is a surgical procedure in which a damaged or diseased MCP joint in the hand is replaced with an artificial implant. This joint, located at the base of the fingers, is crucial for hand movement and dexterity.

Purpose

The procedure aims to relieve pain, restore function, and improve the range of motion in the hand. It is typically performed to address severe arthritis, traumatic injury, or other degenerative conditions affecting the MCP joint.

Indications

Patients who experience chronic pain, stiffness, and swelling in the MCP joint that do not respond to non-surgical treatments. It is also indicated for individuals with significant joint deformity or dysfunction impeding daily activities.

Preparation

• Fasting 8-12 hours before the surgery, especially if general anesthesia will be used.
• Adjusting or temporarily stopping certain medications, such as blood thinners.
• Pre-operative diagnostic tests may include X-rays, MRI, or CT scans to assess joint condition.

Procedure Description

1. The patient is prepped and anesthetized (general or regional anesthesia).
2. An incision is made over the MCP joint.
3. The damaged joint surfaces are removed.
4. The artificial implant is positioned and secured within the joint space.
5. The incision is closed with sutures or staples, and a bandage or splint may be applied.

Duration

The procedure typically takes 1 to 2 hours, depending on the complexity and number of joints involved.

Setting

This surgery can be performed in a hospital or an outpatient surgical center.

Personnel

The procedure involves:

• An orthopedic or hand surgeon
• Anesthesiologist or nurse anesthetist
• Surgical nurses and technicians

Risks and Complications

Common risks include infection, bleeding, and reaction to anesthesia. Rare risks might involve implant loosening, joint stiffness, and nerve damage. Potential complications can be managed with medications, physical therapy, or additional interventions if necessary.

Benefits

The main benefits include pain reduction, improved joint function, and enhanced quality of life. Positive outcomes may be experienced within a few weeks to months post-surgery, with gradual improvement during rehabilitation.

Recovery

• Post-surgery, the patient may need to keep the hand elevated to reduce swelling.
• Physical therapy is usually recommended to regain movement and strength.
• Recovery time varies from a few weeks to several months, with some restrictions on heavy lifting or rigorous hand activities.

Alternatives

Alternative treatments include medication, physical therapy, and corticosteroid injections. In severe cases, joint fusion might be considered, although it limits joint movement.

Patient Experience

Patients can expect some pain and swelling post-procedure, managed with prescribed painkillers and anti-inflammatory medications. Comfort measures include ice packs and elevation, and most patients gradually resume daily activities under guided rehabilitation.