{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T09:28:44Z","timestamp":1763458124572},"reference-count":57,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Osteoarthritis of the carpometacarpal joint of the thumb ( CMC-1) is a common problem and many patients will seek medical attention and may eventually need surgical treatment. As no treatment option has shown consistent superiority, a variety of surgical procedures have been proposed. In this review paper we present our algorithm for the approach of symptomatic CMC-1 osteoarthritis, supported by scientific evidence and our personal experience. It is primarily based on patient demands, status of CMC-1 disease and associated problems around the thumb. The selection of a successful surgical treatment plan with restoration of a pain free and fully functional thumb is the goal. We\u2019ll outline the pro\u2019s and con\u2019s of the surgical procedures and although trapeziectomy has long been the gold standard, the advent of reliable total joint arthroplasties with good short and long-term outcome reports has changed our treatment protocol completely.<\/jats:p>","DOI":"10.1055\/a-1808-7096","type":"journal-article","created":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T22:52:33Z","timestamp":1654123953000},"page":"244-252","source":"Crossref","is-referenced-by-count":3,"title":["Our Treatment Strategy for CMC-1 Osteoarthritis"],"prefix":"10.1055","volume":"54","author":[{"given":"Irisa","family":"Myncke","sequence":"additional","affiliation":[{"name":"AZ Monica Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathias","family":"Vanhees","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederik","family":"Verstreken","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,6,1]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"2614","DOI":"10.2106\/00004623-200512000-00003","article-title":"Prevalence of osteoarthritis of the trapeziometarpal joint","volume":"87","author":"S Sodha","year":"2005","journal-title":"J Bone Joint Surg Am"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/0266-7681(94)90085-X","article-title":"The Prevalance of degenerative arhtritis of the base of the thumb in post-menopausal woman","volume":"19","author":"A L Armstrong","year":"1994","journal-title":"J Hand Surg Br"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"116e","DOI":"10.1097\/01.prs.0000214652.31293.23","article-title":"Thumb trapeziometacarpal arthritis: treatment with ligament reconstruction tendon interposition arthroplasty","volume":"117","author":"A Ghavami","year":"2006","journal-title":"Plast Reconstr Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1016\/0363-5023(92)90305-9","article-title":"The prevalence of carpal tunnel syndrome in patients with basal joint arthritis of the thumb","volume":"17","author":"T M Florack","year":"1992","journal-title":"J Hand Surg Am"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1016\/j.jhsa.2005.01.017","article-title":"Symptomatic Carpal Collapse After Trapeziectomy and Partial Trapeziectomy: Report of Two Cases","volume":"30","author":"J P Rectenwald","year":"2005","journal-title":"J Hand Surg"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1177\/1558944720939198","article-title":"Effect of Trapeziectomy on Carpal Stability","author":"A W Paul","year":"2020","journal-title":"HAND"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/j.jhsa.2008.11.007","article-title":"Trapeziectomy and Carpal Collapse","volume":"34","author":"B Yuan","year":"2009","journal-title":"J Hand Surg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"661","DOI":"10.7326\/0003-4819-150-10-200905190-00003","article-title":"Splint for base-of-thumb osteoarthritis: a randomized trial","volume":"150","author":"F Rannou","year":"2009","journal-title":"Ann Interne Med"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1016\/j.jhsa.2014.11.021","article-title":"Correlation of clinical disease severity to radiographic thumb osteoarthritis index","volume":"40","author":"A L Ladd","year":"2015","journal-title":"J Hand Surg Am"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1080\/028443101317149381","article-title":"Reduction in the need for operation after conservative treatment of osteoarthritis of the first carpometacarpal joint: a seven year prospective study","volume":"35","author":"M Berggren","year":"2001","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"661","DOI":"10.7326\/0003-4819-150-10-200905190-00003","article-title":"Splint for base-of-thumb osteoarthritis: a randomized trial","volume":"150","author":"F Rannou","year":"2009","journal-title":"Ann Interne Med"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1016\/j.jbmt.2019.02.018","article-title":"Thumb caropmetacarpal osteoarhtritis: A musculoskeletal physiotherapy perspective","volume":"23","author":"J H Villafane","year":"2019","journal-title":"J Bodyw Mov Ther"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"e027507","DOI":"10.1136\/bmjopen-2018-027507","article-title":"Injection therapy for the base of thumb osteoarthritis: A systematic review and meta-analysis","volume":"9","author":"N Riley","year":"2019","journal-title":"BMJ Open"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/S0140-6736(18)31859-2","article-title":"Survival of total hip replacements","volume":"393","author":"N Sodhi","year":"2019","journal-title":"The Lancet"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.jhsa.2003.12.002","article-title":"Basal joint osteoarthritis of the thumb: A prospective trial of steroid injection and splint","volume":"29","author":"C D Day","year":"2004","journal-title":"J Hand Surg Am"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.jhsa.2010.10.028","article-title":"Surgical management of primary thumb carpometacarpal osteoarthritis: A systematic review","volume":"36","author":"G M Vermeulen","year":"2011","journal-title":"J Hand Surg Am"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1177\/1753193412469010","article-title":"Long term outcome of trapeziectomy with ligament reconstruction\/tendon interposition versus thumb basal joint prosthesis","volume":"38","author":"L Vandenberghe","year":"2013","journal-title":"J Hand Surg Eur Vol"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1177\/1753193418787151","article-title":"Outcomes of cementless joint prosthesis versus tendon interposition for trapeziometacarpal osteoarthritis: a prospective study","volume":"44","author":"R Cebrian-Gomez","year":"2018","journal-title":"J Hand Surg Eur Vol"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.1016\/j.jhsa.2008.04.028","article-title":"Prospective 1-year Follow-Up Study Comparing Joint Prosthesis With Tendon Interpostion Arhtroplasty in Treatment of Trapeziometacarpal Osteoarthritis","volume":"33","author":"M Ulrich-Vinther","year":"2008","journal-title":"J Hand Surg Am"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1080\/2000656X.2019.1635490","article-title":"Trapeziectomy with LRTI or joint replamcent for CMC1 arthritis, a randomized controlled trial","volume":"53","author":"R D Thorkildsen","year":"2019","journal-title":"J Plast Surg Hand Surg"},{"key":"ref21","first-page":"8666","article-title":"Autologus fat transplantation for the treatment of trapeziometacarpal joint osteoarthritis","volume":"12","author":"M A Bonetti","year":"2020","journal-title":"Orthop Rev (Pavia)"},{"key":"ref22","first-page":"479","article-title":"Cell-enriched Lipoaspirate Arthroplasty: A Novel Approach to First Carpometacarpal Joint Arthritis","volume":"20","author":"S Bohr","year":"2015","journal-title":"Hand Surg Int J Devated Hand Up Limb Surg Relat Res J Asia-pac Fed Soc Surg Hand"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1097\/PRS.0000000000003510","article-title":"Autologous Fat Transfer for Thumb Carpometacarpal Joint Osteoarthritis: A Prospective Study","volume":"140","author":"C Herold","year":"2017","journal-title":"Plast Reconstr Surg"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1097\/PRS.0000000000006378","article-title":"One-year outcomes of intraarticular fat transplantation for thumb carpometacarpal joint osteoarthritis- case review of 99 joints","volume":"145","author":"E M Haas","year":"2020","journal-title":"Plast Reconstr Surg"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/S1297-3203(02)00097-5","article-title":"L\u02bcost\u00e9otomie de r\u00e9orientation de la selle trap\u00e9zienne","volume":"21","author":"A Kapandji","year":"2002","journal-title":"Chir Main"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.main.2011.04.002","article-title":"Relationship between thumb laxity and trapezium kinematics","volume":"30","author":"Orsolini C Garcia-Elias","year":"2011","journal-title":"Chir Main"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.hansur.2020.10.010","article-title":"Radiological measurement of trapezial dysplasia- variation of trapezial tilt and trapezial inclination","volume":"40","author":"K Van Royen","year":"2020","journal-title":"Hand Surg Rehabil"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1302\/0301-620X.80B3.0800508","article-title":"First metacarpal osteotomy for trapeziometacarpal osteoarthritis","volume":"80","author":"J L Hobby","year":"1998","journal-title":"J Bone Joint Surg Br"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"342.e1","DOI":"10.1016\/j.jhsa.2020.09.018","article-title":"Addition-substraction osteotomy with ligamentoplasty for symptomatic trapezial dyspalsia with metacarpal instability","volume":"46","author":"G Thuysbaert","year":"2021","journal-title":"J Hand Surg Am"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1097\/SAP.0b013e3182a1ad9d","article-title":"Trapezial Osteotomy for the treatment of trapezial dysplasia","volume":"71","author":"M M El-Mahy","year":"2013","journal-title":"Ann Plast Surg"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"1737","DOI":"10.1016\/j.jhsa.2008.08.003","article-title":"Long-term outcomes of first metacarpal extension osteotomy in the treatment fo carpal-metacarpal osteoarthritis","volume":"33","author":"W L Parker","year":"2008","journal-title":"J Hand Surg Am"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"772.e1","DOI":"10.1016\/j.jhsa.2018.01.005","article-title":"Survival and long-term outcomes of Thumb metacarpal extension osteotomy for symptomatic carpometacarpal laxity and Early Basal joint arhtritis","volume":"43","author":"A Bachoura","year":"2018","journal-title":"J Hand Surg Am"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1016\/j.jhsa.2012.01.013","article-title":"Opening wedge trapezial osteotomy and possible treatment for early trapeziometacarpal osteoarthritis: a biomechanical investigation of radial subluxation, contact area and contact pressure","volume":"37","author":"T Cheema","year":"2012","journal-title":"J Hand Surg Am"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1177\/1753193411416056","article-title":"Addition-substraction osteotomy without ligamentoplasty for symptomatic trapezial dyspalsai with metacarpal instabiliy","volume":"37","author":"J F Goubau","year":"2012","journal-title":"J Hand Surg Eur Vol"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.jhsa.2008.09.022","article-title":"Long-term outcomes of trapeziometacarpal arhtrodesis in the management of trapeziometacarpal arhtritis","volume":"34","author":"M Rizzo","year":"2009","journal-title":"J Hand Surg Am"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"1470","DOI":"10.2106\/00004623-200110000-00002","article-title":"Thumb carpometacarpal osteoarthritis: arthrodesis compared with ligament reconstruction and tendon interposition","volume":"83","author":"B J Hartigan","year":"2001","journal-title":"J Bone Joint Surg Am"},{"key":"ref37","first-page":"395","article-title":"Arthrodesis of the trapeziometacarpal joint","volume":"29","author":"T Pillukat","journal-title":"Oper Orthop Traumatol 2917"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"e246704","DOI":"10.1590\/1413-785220223001e246704","article-title":"Surgical treatment for rhizarthrosis: a systematic review of the last 10\u2005years","volume":"30","author":"RL C Saheb","year":"2022","journal-title":"Acta Ortop Bras"},{"key":"ref39","first-page":"228","article-title":"Primary endoprosthetic replacement of the arthritic CMC-1 joint","volume":"33","author":"A Borgers","year":"2020","journal-title":"Oper OrthopTraumatol"},{"key":"ref40","first-page":"e681","article-title":"Trapziectomy with ligament reconstruction and tendon interposition versus a Trapeziometacarpal prosthesis for the Treatment of thumb basla joint osteoarthritis","volume":"40","author":"M K Robles-Molina","year":"2017","journal-title":"Orthopedics"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"838.e1","DOI":"10.1016\/j.jhsa.2017.06.008","article-title":"MA\u00cfA Trapzeiometacarpal joint arthroplasty: clinical and radiological outcomes of 80 patients with more than 6\u2005years of follow-up","volume":"42","author":"A Toffoli","year":"2017","journal-title":"J Hand Surg Am"},{"key":"ref42","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1177\/1753193413493368","article-title":"Palmar plate capsulodesis for thumb metacarpophalangeal joint hyperextension in association with trapeziometacarpal osteoarthritis","volume":"39","author":"NJ K Miller","year":"2014","journal-title":"J Hand Surg Eur Vol"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1177\/1753193413516244","article-title":"Ten-year long term results of total joint arthroplasties with ARPE implant in the treatment of trapeziometacarpal osteoarthritis","volume":"39","author":"M Martin-Ferrero","year":"2014","journal-title":"J Hand Surg Eur Vol"},{"key":"ref44","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1177\/17531934211024500","article-title":"Dual mobility trapeziometacarpal prosthesis: a prospective study of 107 cases with a follow-up of more than 3\u2005years","volume":"46","author":"B Lussiez","year":"2021","journal-title":"J Hand Surg Eur Vol"},{"key":"ref45","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1007\/s00264-016-3326-9","article-title":"Wear of dual mobility cups; a review article","volume":"41","author":"A Di Laura","year":"2016","journal-title":"Int Orthop"},{"key":"ref46","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1007\/s00264-017-3525-z","article-title":"Long-term wear of dual mobiliy total hip replacement cups: explant study","volume":"42","author":"B Boyer","year":"2018","journal-title":"Int Orthop"},{"key":"ref47","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1177\/1753193418797890","article-title":"Ivory arthroplasty for trapeziometacarpal osteoarthritis: 10-year follow-up","volume":"44","author":"G Vissers","year":"2019","journal-title":"J Hand Surg Eur Vol"},{"key":"ref48","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1177\/1753193419899843","article-title":"Results of 110\u2005Ivory prostheses for trapeziometacarpal osteoarthritis with a minimum follow-up of 10\u2005years","volume":"45","author":"A Tchurukdichian","year":"2020","journal-title":"J Hand Surg Eur Vol"},{"key":"ref49","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.hansur.2015.09.002","article-title":"Trapeziectomy and ligament reconstruction tendon interposition after failed trapeziometacarpal joint replacement","volume":"35","author":"H Lenoir","year":"2016","journal-title":"Hand Surg Rehabil"},{"key":"ref50","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1016\/j.jhsa.2013.01.030","article-title":"Outcome comparison of primary trapeziectomy versus secondary trapeziectomy following failed total trapeziometacarpal joint replacement","volume":"38","author":"B Kaszap","year":"2013","journal-title":"J Hand Surg Am"},{"key":"ref51","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1177\/1753193408098483","article-title":"Trapeziectomy for trapeziometacarpal joint osteoarthritis: is ligament reconstruction and temporary stabilisation of the pseudarthrosis with a Kirschner wire important?","volume":"34","author":"TRC Davis","year":"2009","journal-title":"J Hand Surg Eur Vol"},{"key":"ref52","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1177\/1753193420952966","article-title":"Simple trapeziectomy versus trapeziectomy with flexor carpi radialis suspension: a 17-year follow-up of a randomized blind trial","volume":"46","author":"A Brennan","year":"2021","journal-title":"J Hand Surg Eur Vol"},{"key":"ref53","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1016\/S0363-5023(86)80137-X","article-title":"Surgical management of basal joint arthritis of the thumb. Part II. Ligament reconstruction with tendon interposition arthroplasty","volume":"11","author":"R I Burton","year":"1986","journal-title":"J Hand Surg Am"},{"key":"ref54","first-page":"421","article-title":"Tendon interposition arthroplasty of the first carpo-metacarpal joint","volume":"13","author":"A Weilby","year":"1988","journal-title":"J Hand Surg Br"},{"key":"ref55","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1097\/BTH.0b013e3181b4c388","article-title":"Suture suspension arthroplsty technique for basal joint arthritis reconstruction","volume":"13","author":"J L DelSignore","year":"2009","journal-title":"Tech Hand Up Extrem Surg"},{"key":"ref56","doi-asserted-by":"crossref","first-page":"2214","DOI":"10.1016\/j.jhsa.2015.07.011","article-title":"The effect of a bone tunnel during ligament reconstruction for trapeziometacarpal osteoarthritis: a 5 year follow-up","volume":"40","author":"K R Spekreijse","year":"2015","journal-title":"J Hand Surg Am"},{"key":"ref57","first-page":"137","article-title":"Complications of trapeziectomy with or without supsension arthroplasty","volume":"33","author":"P C Rhee","year":"2014","journal-title":"J Hand Surg Eur Vol"}],"container-title":["Handchirurgie \u00b7 Mikrochirurgie \u00b7 Plastische Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1808-7096.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T00:32:48Z","timestamp":1712795568000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1808-7096"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6]]},"references-count":57,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,6,10]]},"published-print":{"date-parts":[[2022,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1808-7096","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0722-1819","1439-3980"],"issn-type":[{"value":"0722-1819","type":"print"},{"value":"1439-3980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6]]}}}