Joint replacement surgery for thumb arthritis – practice modifications

https://sonjacerovac.com/updates/joint-replacement-surgery-for-thumb-arthritis-practice-modifications/

We are trying to selectively shift from a conventional trapeziectomy (excision of the trapezium, one of 8 wrist joint bones) to joint replacement surgery in patients with early, stage II disease. The aim is to align our practice with new, now well established, worldwide trends and published evidence. Arthroplasty is expensive and not risk-free procedure,…

New modified rehabilitation regime for internally fixed metacarpal fractures

https://sonjacerovac.com/updates/new-modified-rehabilitation-regime-for-internally-fixed-metacarpal-fractures/

My team presented results of our latest prospective randomised control trial at the IFSSH, IFSHT & FESSH Combined Congress in London last week. Whilst we continue with the painstaking data collection, started few years ago, some conclusive results are starting to emerge. We wanted to test the widely practiced, conventional rehabilitation regime of splintage of patients with…

Ten year study on use of special implants for thumb arthritis published in JHS

https://sonjacerovac.com/updates/ten-year-study-on-use-of-interposition-arthoplasty-in-my-cohort-of-patients-published-in-jhs/

Twenty-nine convex bi-articular pyrocarbon implants (PyroDisc®) inserted in a selected cohort of patients led to a significant postoperative improvement in all key hand outcome measures: pain reduction, DASH score, grip, and pinch strength at the median follow up of 59 months. This operation is technically demanding, but provides good results and can act as a…