Innovations in the Treatment of Hand and Elbow Arthritis. Trapezium-Sparing Options for Thumb Carpometacarpal Joint Arthritis

Thumb carpometacarpal joint arthritis is a common condition, particularly in middle-aged women. There are many treatment options, ranging from joint arthroplasty to arthrodesis to arthroscopic débridement. Trapezium preservation has been increasingly recognized as desirable for maintaining length of the digit and strength in pinch and grasp. In this article, we review trapezium sparing options for treatment of thumb carpometacarpal joint arthritis. These techniques allow surgeons to recontour or resurface the arthritic joint. Joint stability is critical to long-term success.