Despite the obvious success of arthroplasty trapeziectomy with or without interposition and prosthesis--in the treatment for trapeziometacarpal osteoarthritis, one may question the value of an arthrodesis in particular situations. In most reported series the outcome is reasonably successful, but when comparing the results of arthrodesis with arthroplasty, there is convincing evidence that the l...

PURPOSE Osteoarthritis of the thumb basal joint is a very common and disabling condition that frequently affects middle-aged women. Many different surgical techniques have been proposed for extensive degenerative arthritis of the first carpometacarpal (CMC) joint. Joint replacement has been an effective treatment of this condition. The purpose of this article is to present the outcome of a tota...

PURPOSE the aim of this study was to evaluate the effectiveness of interposition arthroplasty of the trapeziometacarpal (TMC) joint with pyrolitic carbon implants for the treatment of TMC osteoarthritis. METHODS we evaluated two groups of patients surgically treated for TMC osteoarthritis: group 1 (34 patients - 36 TMC joints) treated with PyroDisk implantation and group 2 (25 patients - 25 T...

Trapeziometacarpal joint (TMCJ) of the thumb is an unstable anatomically and depends on integrity normal functionality ligaments to prevent dislocation. Dislocation or subluxation trapezio-metacarpal generally appears more often as injuries accompanied with intraarticular fracture base first metacarpal trapezium. Isolated dorsolateral trapeziometacarpal osteoarthritis rather than traumatic lesi...

1. Batra S, Kanvinde R. Osteoarthritis of the thumb trapeziometacarpal joint. Orthopaedics and Trauma 2007; 21:135-44. 2. Cook GS, Lalonde DH. MOC-PSSM CME article: Management of thumb carpometacarpal joint arth ritis. Plast Reconstr Surg 2008;121:1-9. 3. Merritt MM, Roddey TS, Costello C, et al. Diagnostic value of clinical grind test for carpo meta carpal osteoarthritis of the thumb. J Hand T...