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What is a Trapeziectomy?

Published in Surgical Procedure 2 mins read

A trapeziectomy is a surgical procedure involving the removal of the trapezium bone in the wrist.

Understanding the Trapeziectomy Procedure

The trapezium is a small bone located at the base of the thumb. It is a crucial component of the wrist joint, enabling a wide range of thumb movements. Osteoarthritis often affects this bone, causing pain and limiting functionality. A trapeziectomy is performed to alleviate these symptoms by removing the affected trapezium bone.

Why a Trapeziectomy is Necessary

  • Osteoarthritis: When osteoarthritis develops in the trapezium bone, it can result in significant pain, stiffness, and reduced mobility in the thumb and wrist.
  • Pain Relief: Removing the trapezium eliminates the source of pain, as it eliminates the bone-on-bone friction.
  • Improved Functionality: Patients often experience improved thumb movement and overall hand function after undergoing a trapeziectomy.

Trapeziectomy Process

The surgery involves:

  1. Incision: A surgical incision is made over the base of the thumb.
  2. Removal: The trapezium bone is carefully removed.
  3. Reconstruction (Optional): In some cases, the gap left by the removed trapezium may be filled with a tendon graft or other material, though it's not always required.
  4. Closure: The incision is closed using sutures.

Recovery After Trapeziectomy

  • Immobilization: The hand and wrist are typically placed in a splint or cast for a period after surgery.
  • Physical Therapy: Physical therapy is often needed to regain strength, range of motion, and functionality.
  • Healing: The healing process can vary; however, following the physician’s instructions is very important.
Trapeziectomy Fact Description
Definition Surgical removal of the trapezium bone in the wrist.
Reason To treat pain and limited function caused by osteoarthritis.
Location Base of the thumb in the wrist.