Thumb carpometacarpal (CMC) joint arthritis is a common and debilitating condition. The mainstay of treatment
is conservative management. Surgery is only indicated following failure of a prolonged and comprehensive trial of
nonoperative treatment. Once surgery has been designated, an array of surgical alternatives exist, all of which provide
specific benefits and disadvantages. The different surgical options and their results are reviewed. The specific surgery will
vary depending on the surgeon's experience and preference taking into account the patient's specific needs. The most
commonly performed operative management at this time consists of trapeziectomy with ligament reconstruction, but most
procedures can produce high patient satisfaction and in general, the results of surgical treatment are good.
Keywords: thumb, CMC joint, arthritis, surgical treatment.
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