Hand & Wrist

Finger Joint Replacement - PIPJ or MCPJ

A finger joint replacement is a surgical procedure that involves the removal of an arthritic or damaged finger joint and replaced with an artificial prosthesis.

About Finger Joint Replacement

Patients may develop a form of arthritis or degenerative arthritis within the joints of the fingers. This cartilage wears out within the metacarpo-phalangeal joints (the joints at the knuckles “MCPJ”) and the proximal interphalangeal joints (the middle joints on your fingers “PIPJ”).  This treatment is only offered/indicated when all conservative measures fail to relieve pain and disability of the patient.

Signs & Symptoms

It is common that the patient suffers from ongoing pain, stiffness and inflammation within the effected joints. Patients can also find it difficult completing simple everyday tasks i.e. gripping and holding objects. 

Mr. Lawson-Smith will review your medical history.  He will perform a physical examination through consultation and obtain x-rays of your hands. 

Treatment Options

Risks & Concerns

The associated risks of surgery include:

  • Infection
  • Scar
  • Pain
  • Stiffness
  • Swelling
  • Complex Regional Pain Syndrome
  • Need for further surgery
  • Failure to relieve symptoms
  • Worsening pain
  • Bleeding
  • Neurovascular deficit or injury
  • Risk of anaesthetic
  • Prosthesis defect/complication
  • Failure

Joint replacements have a finite life which Mr. Lawson-Smith will discuss with you.

If you experience any problems or have any concerns following your surgery, please do not hesitate to contact the office. Mr. Lawson-Smith’s staff will ensure that Mr. Lawson-Smith is kept informed of what is occurring and will advise you the best course of action.

If you are unable to reach the office, please do not hesitate to contact your General Practitioner or if it an emergency, please present to your nearest Emergency Department.

Make an appointment

Call 08 6332 6325 or contact us to book an appointment.
You’ll need a referral from your GP.


Mr Matthew Lawson-Smith

A fully qualified, internationally and  locally trained upper limb surgeon, specialising in hand, wrist, elbow and shoulder surgery. Mr. Lawson-Smith has a special interest in hand and wrist conditions, including trauma and Workers Compensation cases.

Perth orthopaedic surgeon Mr Matthew Lawson Smith, profile photo