Arthroplasty
- Thumb Basal Joint Replacement
- Total Wrist Arthroplasty
- Finger Joint Replacement
What Is Arthroplasty?
Arthroplasty is a surgical procedure that involves replacing or reconstructing a damaged joint to restore function and relieve pain. In the hand, arthroplasty is often performed on joints affected by arthritis or injury, where the cartilage has worn away, causing significant discomfort and limiting mobility. The procedure can involve the use of prosthetic implants to mimic the natural joint, allowing for smoother movement and reducing pain.
Types of Joint Replacement
Thumb Basal Joint Replacement
This procedure is performed to relieve pain at the base of the thumb, which is commonly affected by osteoarthritis. It involves removing the damaged joint and replacing it with a prosthesis or using tendons to reconstruct the area for improved function.
Total Wrist Arthroplasty
Total wrist replacement is ideal for those suffering from severe arthritis in the wrist. It involves replacing the damaged joint with a prosthetic implant to restore range of motion and reduce pain, while maintaining stability.
Finger Joint Arthroplasty
Finger joint arthroplasty involves replacing one or more of the finger joints, often due to rheumatoid arthritis or osteoarthritis. Prosthetic joints are used to restore movement and improve grip strength, allowing for a more functional hand.
What can Arthroplasty Treat?
Arthroplasty is an effective treatment for a variety of conditions that cause joint damage, pain, and stiffness in the hand and wrist. The most common condition treated with arthroplasty is arthritis, including both osteoarthritis and rheumatoid arthritis. In osteoarthritis, the cartilage that cushions the joints wears away, leading to bone-on-bone contact, which causes pain and inflammation. Rheumatoid arthritis, an autoimmune condition, can lead to severe joint damage due to chronic inflammation, affecting the functionality of the hand and wrist joints. Arthroplasty helps to restore joint movement and alleviate pain in these cases.
How it Works
Arthroplasty is a surgical procedure that involves replacing or reconstructing a damaged joint to restore function and relieve pain. In the hand, arthroplasty is often performed on joints affected by arthritis or injury, where the cartilage has worn away, causing significant discomfort and limiting mobility. The procedure can involve the use of prosthetic implants to mimic the natural joint, allowing for smoother movement and reducing pain.
Implants in Arthroplasty
In arthroplasty, implants are used to replace damaged joints and restore function in the hand, wrist, or fingers. These implants are typically made of durable materials such as metal, ceramic, or polymers, designed to mimic the movement and structure of natural joints. Depending on the type of arthroplasty performed, the size, shape, and materials of the implants will vary. For example, finger joint replacements often use silicone implants, while total wrist arthroplasty may involve a combination of titanium metal and polyethylene components.
Implants are selected based on the patient’s specific condition, level of joint damage, and activity level, ensuring the best possible fit and function. These modern prosthetics not only reduce pain but also offer improved mobility and joint stability, allowing patients to return to their daily activities with greater comfort and confidence.
Frequently Asked Questions
How long does recovery from arthroplasty take?
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Is arthroplasty a permanent solution for joint pain?
Will I need physical therapy after arthroplasty?
Are there any risks associated with arthroplasty?
How do I know if I'm a candidate for arthroplasty?
Can I return to normal activities after arthroplasty?
Is arthroplasty covered by insurance?
Why Choose Us
Expert Hand Surgeon
Mr Patrick Goon is a highly respected hand surgeon with years of experience, specialising in complex joint replacement and hand surgeries. His expertise ensures you receive the best care for your condition.
Fast Access to Care
Unlike the NHS with long waiting lists, Mr Goon offers quick access to consultations, often within 1-2 weeks. This means you don’t have to wait months to start your treatment.
Comprehensive Expertise
Mr Goon is one of the few surgeons in the UK who performs both plastic and orthopaedic hand surgeries. This unique combination of skills allows him to tackle a wider range of conditions with precision.
Advanced Surgical Techniques
From total wrist replacements to complex joint surgeries, Mr Goon uses the latest techniques to provide the most effective outcomes. His innovative approach ensures minimal disruption to your life.
Dedicated to Training
Mr Goon is committed to advancing hand surgery through his fellowship program, mentoring the next generation of surgeons. This dedication to education reflects his passion for the field and his ongoing pursuit of excellence.
Personalised Patient Care
At our clinic, you’re not just a number – you’re a priority. Mr Goon takes time to understand your needs and customises a treatment plan that fits your unique situation, ensuring the best possible results.
Meet Mr Patrick Goon
Specialist Hand Surgeon. MD FRCSEd(Plas) DipHand(FESSH)
A highly experienced and very qualified specialist hand & wrist plastic surgeon based in Hertfordshire.
I am a fully UK-trained Consultant Plastic Surgeon, with tertiary subspecialisation in Hand and Wrist Surgery. With 3 Post-FRCS Hand Fellowships in Norwich, Spain and The Netherlands, I have made it my career and passion to treat Hand and Wrist conditions of all sorts, ranging from the simple to the highly complex.
A full-time NHS Consultant with more than 10 years of experience, I also run the well-recognised collaborative Lister Hand Fellowship, a unique Fellowship programme that bridges the institutions of Lister Hospital in the UK, with the Utrecht Medical Centrum in The Netherlands. The aim being to train highly eligible and keen individuals from the UK, EU and around the world, helping to establish the next generation of talented hand surgeons.
What Our Patients Say
Written by a NHS patient at Lister Hospital
5th July 2024
I managed to dislocate one knuckle and badly break another knuckle in the same finger into multiple pieces, an injury which every Healthcare Professional that saw the X-ray told me was not only severe damage but also a particularly rare injury. Mr Goon and his team screwed the knuckle back together, which was particularly fiddly given the multiple small pieces.
After the operation I was given a number of exercises which were progressively added to over a series of regular appointments, both with Mr Goon and multiple Hand Therapists, to check and monitor my progress. I followed their instructions as closely as I could, both in frequency of exercising and how far to push the injury (I did want to actually recover fully after all, so why would I have not listened to the experts!), even though this was sometimes inconvenient or sore.
I’m delighted to say that I now have full use and movement of the finger and a scar which is unnoticeable unless you look very closely for it. Mr Goon and his team are all a credit to the NHS, not only due to their expertise, but all kept a very friendly and positive attitude at all times not just about the potential recovery but also with their general demeanor, were always supportive and happy to answer any question I had, even if I was worried they may have been obvious answers, and were always clear about the next steps I needed to take.
It’s also worth mentioning for anyone that may be critical of the NHS which is clearly currently under intense pressure based on the number of patients in the Hospital ever time I went in, I sustained the injury on a Wednesday evening, had the dislocation sorted at a Hospital walk-in clinic within 1.5 hours and had met the surgeon, gone through the options and procedure and was in surgery by Saturday morning. Mr Goon even came to see me himself and tell me how the procedure had gone as soon as I was fully awake. This shows what an amazing service the NHS actually provides, and I didn’t have to pay a penny.
The whole experience has far exceeded my expectations and I can only thank Mr Goon and his entire team for the amazing work that they have done to ensure my full recovery.
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Written by a NHS patient at Lister Hospital
3rd October 2024
I had an accident at work that led to part of my finger being cut off. Mr. Goon has been treating me, and thanks to his skill, I’ve actually got that part of my finger back, including the nail. Honestly didn’t think that’d be possible, especially not so soon. I’m really grateful to have had such a great doctor during such a rough time. It couldn’t have gone better. Joe Efford
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Written by a NHS patient at Lister Hospital
10th October 2024
I saw Dr Goon following an accident with a horse which resulted in numerous breakages in my thumb. Having had numerous visits and having experienced terrible pain I was not sure if Doctor Goon could help. How wrong I was, he was extremely good in every aspect of his work getting my pain under control pretty quickly. He reassured me, listening to my concerns and always made me feel completely at ease. He has a very positive attitude at all times with every visit exceeding my expectations. I will require further surgery but I am not concerned as I cannot fault the care from Mr Goon and his great team to date. I know I will be in safe hands. He is indeed “The Miracle Man”.
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