Carpometacarpal Arthrodesis: Indications and Techniques.

Hand Clin · May 2022 · Review

London DA, Stern PJ

Department of Orthopaedic Surgery, University of Cincinnati, 231 Albert Sabin Way

Hand & Upper Extremity

SUMMARY — THE REDUCTIONTrapeziometacarpal arthrodesis for young high-demand patients with thumb basal joint arthritis shows favorable outcomes, though evidence quality remains poor.
Abstract, as published

Trapeziometacarpal arthrodesis is a beneficial surgery for young and higher-demand patients who have trapeziometacarpal arthritis. Surgical techniques can vary, but certain aspects of the surgery are critical, including bony preparation and positioning of the thumb in space. Reported outcomes are generally favorable, although the quality of evidence is poor. There are no comparison studies assessing different arthrodesis techniques, and only a few comparing arthrodesis to the trapeziometacarpal arthroplasty procedures. Most published results are case series with retrospectively collected data.

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