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Tuesday, February 24, 2009 Laura asks

Q: Anyone out there had finger joint replacement?

Hi,

I am at a point where I need to decide between a fingre joint replacement or a joint fusion.  I was hoping that there was someone who has had either of these done and could give me some info on the procedures, how it effects daily activities, etc.    Anyone???

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Answers (2)
Lene Andersen, Health Guide
2/25/09 12:21pm

I haven't, but I believe I may have personal experience that can speak to it anyway. First, I had both hips replaced many years ago and can attest to the effectiveness of joint replacement in terms of increased flexibility and no pain. As well, I know several people who've had hip replacements and all have had excellent results. However, finger joint replacements are not as common and there is been problems with it. You can read about finger joint replacement here (keep in mind that link takes you to a website by the people who make the joint replacements, so it's trying to sell you on it and therefore likely to mention mostly positive aspects of it) and I also found a couple of other sites that are more objective (here and here). If you google 'finger joint replacement' you'll find a lot of websites with more information.

 

You don't mention which joint in particular will be replaced and which finger, both of which are relevant to your question about joint fusion. I've had RA for a long time and for decades, there was no effective treatment. All of my fingers are fused to various degrees, some completely, some partially and I have limited movement in my knuckle joint. It does impact the way you do things, but one of the defining aspects of us humans is that we adapt can to almost anything. Could you splint the affected finger for a while to mimic a fusion? This might give you a sense of how it would impact you. I think your best bet is to do a lot of reading about the issue, try leaving the question in different forums throughout the Internet (Yahoo groups may have an RA group) and then go back to your doctor and ask a lot of questions.

 

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7/ 8/09 7:38pm

Hello--

I've just had the 2nd thumb and 5th finger joint replaced with silicon implants, all of these done within the last 6 years. Overall I'd say the results have been good, otherwise I wouldn't have continued this form of repair as each mid-finger joint has disintegrated. Pain disappears and function is "good enough," though grip strength isn't so great. Still, it beats the pain.

 

But surgeons may vary. My first one was great, but he retired, and results aren't confirmed yet with this second one. The thumb he did turned out fine, but the ring finger is still stiff and mildly swollen after 8 weeks, but I'm expecting it to improve. Overall, though, I'd give it a shot--you can always fuse later if it doesn't work.  

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11/28/09 5:37pm

I am thinking about thumb joint replacement. How much dexterity do you have since your joint replacement? how long was your recovery? I am a dental hygienist & need to work for at least 5 more yrs!

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11/ 3/11 9:12pm

I haven't but am also a dental hygienist and wonder what may be in my future.  so far injections are all I've had.  

did you have the replacement?  did you have any luck finding feedback from other hygienists?

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By Laura— Last Modified: 11/03/11, First Published: 02/24/09