Trapezium-retaining procedures for basal joint arthritis

April 17th, 2007

Although trapezium excision in combination with ligament reconstruction has been the most common and popular procedure to treat basilar thumb joint arthritis over the past 2 decades, newer implants are now available that may have a selective role in younger and older patients. We can discuss the pros and cons during your appointment to see if these new advances may have a role in your treatment.Their value revolves around preservation of the trapezium with minimal bone resection.

These options include the artelon resurfacing implant, and pyrocarbon joint hemiarthroplasty. When arthritis involves only the CMC joint, these options may result in better maintenance of strength, long-term. Although little data exists currently in the peer-reviewed literature, early clinical reports have shown efficacy in properly selected situations.

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