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Advanced Technical IVT

CMC joint arthroplasty

Also written as: CMC — carpometacarpal

Surgical reconstruction of the carpometacarpal joint, typically involving the thumb base.

Full Definition

Surgical replacement or reconstruction of the carpometacarpal joint, most commonly performed for thumb base arthritis. Procedures include trapeziectomy with ligament reconstruction and tendon interposition (LRTI), total joint replacement, or arthrodesis. The goal is to reduce pain and restore function in patients with advanced arthritis of the thumb CMC joint.

Usage

Usage note: CMC typically refers to the thumb base joint unless otherwise specified; distinguish from other CMC joints of the fingers.

In Context

  • "CMC joint arthroplasty with LRTI provided excellent pain relief and functional improvement at six months." — Research abstract
  • "Total CMC joint arthroplasty was chosen over fusion due to the patient's bilateral involvement." — Surgical consultation note

Also known as

thumb base arthroplasty trapeziometacarpal arthroplasty

Contrasted with

CMC joint fusion arthrodesis

Don't confuse with

MCP joint arthroplasty wrist arthroplasty

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