Trapeziectomy with Ligament Reconstruction Surgery, Recovery, Complications, CPT Code

Trapeziectomy with Ligament Reconstruction Surgery entails the excision of the trapezium bone from the wrist, which is followed by the restoration of the ligaments in the thumb. The trapezium bone, which lies near the base of the thumb, is frequently damaged by arthritis or other degenerative diseases. For those who have problems with their thumbs, this procedure seeks to reduce their pain, enhance their general quality of life, and restore their thumb function.

    Trapeziectomy with Ligament Reconstruction Surgery

    Trapeziectomy with Ligament Reconstruction Surgery normally follows a defined surgical approach that comprises the following steps:

    Trapeziectomy with Ligament Reconstruction Surgery, Recovery, Complications, CPT Code

    Incision and Exposure

    To access the trapezium bone, a cut is made over the base of the thumb. In order to expose the injured location, the surgeon meticulously separates the surrounding tissues.

    Removal of the Trapezium Bone

    The trapezium bone is carefully removed with surgical equipment. This technique tries to remove the source of the pain and enable ligament repair.

    Ligament Reconstruction

    The surgeon will next proceed with reconstructing the ligaments after the trapezium bone has been removed. This entails restoring the stability and functionality of the thumb joint utilizing neighboring tendons or synthetic grafts.


    Sutures or staples are used to close the incision after the ligament reconstruction is done. To aid in healing, sterile dressings are placed on the surgical site.

    Recovery Process

    For optimum healing and restoration of thumb function after a trapeziectomy with a ligament reconstruction procedure, recovery is important The recovery process typically entails:

    Immediate Postoperative Period

    Post-op patients will be closely monitored. To treat pain and stop infection, doctors may prescribe antibiotics and painkillers. To encourage appropriate recovery, the hand, and wrist will be immobilized with a splint or cast.

    Rehabilitation and Physical Therapy

    A tailored rehabilitation program will start once the initial healing is complete. The primary goals of the physical therapy exercises will be to regain range of motion, strengthen the thumb, and gradually increase functional activities.

    Pain Management

    Patients will be given advice on how to manage postoperative pain, such as using prescribed medications, applying ice packs, and elevating the hand to reduce swelling.

    Potential Complications

    Trapeziectomy with Ligament Reconstruction Surgery has possible risks and complications, just like any surgical operation. These may consist of:


    There is a chance that the surgical site will become infected. Patients will be instructed on wound care and infection signs like redness, swelling, warmth, and discharge.

    Stiffness and Loss of Mobility

    Following surgery, some people may have stiffness and restricted mobility in the thumb joint. These problems can be resolved and flexibility can be regained with physical therapy and hand exercises.

    Nerve or Vascular Injury

    Though uncommon, nerve or vascular injury is a possible side effect of the surgery. In spite of the utmost care taken by surgeons to minimize these risks, nerve or blood vessel damage may occur, resulting in altered sensation or blood flow in the hand.

    Complex Regional Pain Syndrome (CRPS)

    A rare but potential complication is Complex Regional Pain Syndrome. Long-lasting pain, swelling, and changes in the affected hand's temperature and appearance are all results of it.

    Trapeziectomy CPT Code

    The CPT code for a simple complete trapeziectomy is 25210. However, this code is considered ambiguous because it only specifies the carpectomy of one bone. Additional codes could be applied to the procedure to accurately account for this.

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