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Finger Joint Replacement Surgery in India

Advanced finger joint replacement surgery at Arthros Center, Patna. Restore hand function and relieve arthritis pain with modern implants.

Overview

Finger joint replacement surgery, also known as finger arthroplasty, is a sophisticated procedure that replaces damaged or arthritic finger joints with artificial implants. At Arthros Center in Patna, Bihar, we specialize in treating severe finger arthritis, trauma-related joint damage, and degenerative joint conditions that significantly impact hand function and quality of life. The human hand contains 14 joints in the fingers (proximal interphalangeal joints - PIP, distal interphalangeal joints - DIP, and metacarpophalangeal joints - MCP). When these joints become severely damaged due to osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, or other degenerative conditions, they can cause chronic pain, stiffness, deformity, and loss of grip strength. Dr. Kumar and his team have successfully performed over 35 finger joint replacement procedures with an 85% patient satisfaction rate. Our approach combines precision surgical techniques with modern silicone or pyrocarbon implants that closely mimic natural joint movement. **When is Finger Joint Replacement Needed?** This surgery is typically recommended when conservative treatments such as medication, splinting, physical therapy, and corticosteroid injections have failed to provide adequate relief. Common conditions requiring finger joint replacement include severe rheumatoid arthritis affecting multiple finger joints, post-traumatic arthritis following finger fractures or dislocations, osteoarthritis causing significant pain and functional limitation, and boutonniere or swan-neck deformities. **Types of Finger Implants** We use two main types of implants at Arthros Center: 1. **Silicone Implants**: Flexible, one-piece spacers that act as cushions between bone ends. These are ideal for low-demand patients and those with rheumatoid arthritis. 2. **Pyrocarbon Implants**: More durable, two-piece implants that better preserve natural joint mechanics. These are preferred for younger, more active patients with post-traumatic arthritis. **Why Choose Arthros Center for Finger Joint Replacement?** Our center offers specialized hand surgery expertise under Dr. Kumar's guidance, microsurgical precision with magnification equipment, customized implant selection based on your activity level and arthritis type, comprehensive hand therapy program post-surgery, and affordable treatment under PMJAY and BSKY schemes. **Success Outcomes** Most patients experience significant pain relief within 3-6 weeks, improved finger alignment and appearance, better grip strength for daily activities, and ability to return to work and hobbies. The implants typically last 10-15 years with proper care. **Cost and Accessibility** Finger joint replacement surgery in India costs between ₹50,000-₹1,50,000 per joint, depending on the type of implant and number of joints replaced. At Arthros Center, we accept PMJAY (Ayushman Bharat) and BSKY (Bhamashah Swasthya Bima Yojana) coverage, making this life-changing surgery accessible to economically weaker sections of Bihar society.

Symptoms & Indications

This surgery may be recommended if you experience:

Persistent pain in finger joints, especially with gripping or pinching movements

Morning stiffness in fingers lasting more than 30 minutes

Visible swelling and deformity of finger joints

Difficulty buttoning clothes, writing, or using utensils

Reduced range of motion in affected finger joints

Finger deviation (crooked appearance) due to joint destruction

Inability to make a complete fist

Joint crepitus (grinding or crackling sensation) with movement

Nodules or bone spurs around finger joints

Weakness in hand grip affecting daily tasks

Procedure Details

Duration

45-90 minutes per joint

Anesthesia

Regional nerve block or general anesthesia

Preparation for Surgery

Comprehensive hand evaluation including X-rays and joint function assessment. Patients should stop blood thinners 5-7 days before surgery as directed. The procedure is performed under regional anesthesia (nerve block) or general anesthesia.

Surgical Steps

1

Administration of regional anesthesia to numb the arm and hand

2

Application of sterile drapes and tourniquet to minimize bleeding

3

Small incision (2-3 cm) made over the affected finger joint

4

Careful dissection through tendons and ligaments to expose the joint

5

Removal of damaged cartilage and bone ends using precision instruments

6

Preparation of bone canals to receive the implant stems

7

Insertion of appropriately sized silicone or pyrocarbon implant

8

Trial range of motion testing to ensure proper implant fit

9

Realignment of tendons and ligaments around the new joint

10

Closure of incision with fine sutures for minimal scarring

11

Application of padded splint to protect the finger

12

Elevation of hand to reduce post-operative swelling

Frequently Asked Questions

Common questions about this procedure

Q1.Which finger joints can be replaced?

We can replace the PIP (middle knuckle), MCP (knuckle at hand base), and DIP (fingertip joint) joints. The PIP and MCP joints are most commonly replaced. At Arthros Center, we assess each joint individually to determine the best treatment approach.

Q2.How long do finger implants last?

Silicone implants typically last 10-15 years with proper care and activity modification. Pyrocarbon implants may last 15-20 years in ideal conditions. The longevity depends on your activity level, implant type, and adherence to post-operative precautions. Regular follow-ups help monitor implant condition.

Q3.Can multiple finger joints be replaced in one surgery?

Yes, we can replace 2-3 joints in a single surgery session if needed. This is common in rheumatoid arthritis patients with multiple affected joints. However, the decision depends on your overall health, bone quality, and the complexity of the procedure. We discuss the best approach during consultation.

Q4.What is the difference between finger fusion and finger replacement?

Finger fusion (arthrodesis) permanently joins the bones, eliminating pain but also eliminating movement at that joint. Finger replacement preserves some motion while relieving pain. We recommend replacement for joints where motion is important (like PIP joint) and fusion for joints where stability is more critical (like DIP joint).

Q5.Will I regain full finger motion after surgery?

Most patients regain 60-80% of normal finger motion, which is typically sufficient for most daily activities. The goal is pain-free functional movement rather than complete range of motion. Hand therapy is crucial for optimizing your final range of motion. Results vary based on pre-operative stiffness, implant type, and therapy compliance.

Q6.Is finger joint replacement covered under PMJAY/BSKY?

Yes, finger joint replacement surgery is covered under both PMJAY (Ayushman Bharat) and BSKY schemes at Arthros Center, Patna. Eligible patients can receive treatment at minimal or no cost. Our team helps with documentation and claim processing to ensure smooth access to these government healthcare benefits.

Q7.How soon can I return to work after finger joint replacement?

For desk jobs or light work, most patients return within 4-6 weeks. Manual laborers may need 8-12 weeks before resuming full duties. The timeline depends on which fingers are affected, your occupation's demands, and healing progress. We provide work modification recommendations and communicate with your employer if needed.

Q8.What are the risks of finger joint replacement surgery?

Risks include infection (1-2%), implant loosening or dislocation (3-5%), stiffness requiring additional therapy, nerve or blood vessel injury, and need for revision surgery. At Arthros Center, we minimize risks through sterile techniques, precise surgical planning, and comprehensive post-operative care. Most patients experience successful outcomes with significant symptom improvement.

Q9.Can I play sports or musical instruments after finger joint replacement?

Low-impact activities like swimming, walking, and cycling are encouraged. Musicians can often return to playing instruments with some adaptations. High-impact sports like cricket, boxing, or heavy weightlifting should be avoided to protect the implants. We work with hand therapists to develop activity-specific rehabilitation programs tailored to your goals.

Q10.What happens if the finger implant fails or wears out?

If an implant fails, revision surgery can replace the worn implant with a new one, or the joint can be fused for permanent stability. At Arthros Center, we monitor implant condition through regular X-rays and clinical exams. Most modern implants last 10-20 years, and revision procedures have good success rates when performed by experienced hand surgeons.

Considering This Surgery?

Book an online video consultation with Dr. Gurudeo Kumar for just ₹999 and get all your questions answered