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How to prepare for Trapeziectomy

  • This procedure is done as a day case meaning you will be allowed to go home the same day with no overnight stay in hospital. Very occasionally, social or medical conditions require an overnight stay.
  • Before you come into the hospital remove any rings from the hand and if you are unwell or have any cuts on your hand or arm then please inform us before the day as this may require your operation to be delayed. 
  • If you smoke it is best to stop or reduce as much as you can. 
  • If you are diabetic you will reduce your risk of infection and poor wound healing by keeping your blood sugars stable. 
  • You must starve for your surgery. You may have a general anesthetic where you go to sleep, or a Nerve block (this is where you are awake but have a numbing injection in your armpit and the whole arm is numb for 12 hours), this block can be done with or without sedation. You must not eat, drink or chew gum for 6 hours before you come to the hospital. 
  • You will be seen by the anesthetist who will check your current health, ask specific questions about medications and when you have last eaten or drank. They will then discuss the details of the anesthetic including the process, risks and answer any questions you have. 
  • Surgery can take 30-90 min. Your surgeon will make a cut a few centimeters long base of thumb. They will carefully isolate the trapezium bone before removing it. The wound will be closed with stitches. You will have a plaster cast or a bulky dressing around your thumb at the end of the procedure, and an arm sling to elevate your hand.
  • You should have someone to take you home and be with you overnight after the operation.
  • Please attend all dressing, doctor and hand therapy appointments after surgery and follow instructions on hand exercises to get the best function and recover following surgery.

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