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Long-term data on mobility, complication rates and clinical outcomes remain limited. This study aimed to analyze long-term clinical and radiological results after CMC 1 arthrodesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>A single-center, retrospective study included patients who underwent CMC 1 arthrodesis between 2004 and 2024. Following medical record analysis, eligible patients were invited to a standardized clinical and radiological follow-up examination. Outcomes included DASH, PRWHE and MHQ scores, pain intensity, mobility, strength and patient satisfaction. Radiological assessment covered fusion signs, implant position and adjacent joint arthrosis. The median follow-up was 9 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>34 patients were included, 16 participated in follow-up. The median DASH score was 14 points, PRWHE 4 points and MHQ 80 (operated) vs. 84 (contralateral). Grip strength reached 85% of the contralateral side, with preserved pinch strength. Compensatory adaptation of adjacent joints was observed regarding range of motion. Patients reported no relevant resting pain and only minimal load-related discomfort. 15 of 16 patients were satisfied with the outcome. Non-union occurred in 4 of 34 cases (11.8%), associated with absent cancellous bone grafting or compression screws. Revision surgery was required in 3 patients, achieving bone consolidation and pain remission in all cases. Radiological follow-up revealed STT arthrosis in 27% of cases, without clinical relevance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CMC 1 arthrodesis demonstrates good long-term results with significant pain relief and high patient satisfaction. Mobility compensation and near-complete strength restoration were observed. Adjacent joint arthrosis occurred but remained largely asymptomatic. The use of cancellous bone grafting and compression screws is strongly recommended to reduce non-union risk. Arthrodesis proves a reliable surgical option, particularly for patients with high strength requirements.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00402-026-06375-4","type":"journal-article","created":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T17:35:23Z","timestamp":1781372123000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long-term results of thumb carpometacarpal joint arthrodesis"],"prefix":"10.1007","volume":"146","author":[{"given":"Pascal","family":"Vogler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Benedikt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Bode","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Keiler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Stock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Arora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,13]]},"reference":[{"issue":"6","key":"6375_CR1","doi-asserted-by":"publisher","first-page":"785","DOI":"10.1016\/j.joca.2021.03.004","volume":"29","author":"MJW van der Oest","year":"2021","unstructured":"van der Oest MJW, Duraku LS, Andrinopoulou ER, Wouters RM, Bierma-Zeinstra SMA, Selles RW et al (2021) The prevalence of radiographic thumb base osteoarthritis: a meta-analysis. 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