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Basilar thumb, or trapeziometacarpal (TM) arthritis, is a common and often debilitating condition affecting 8% to 12% of the general population, including more than half the people older than 70 [14, 16]. Symptoms range from minor discomfort to severe pain and disability, which may initially be treated nonoperatively with antiinflammatory medication, splints, and corticosteroid injections. Once these have been exhausted, many surgical options exist [13]. The mainstay of these approaches involves trapeziectomy with or without ligament reconstruction or interposition. However, there are concerns regarding proximal and lateral subsidence of the thumb [7]. This collapse can lead to weakness and recurrent symptoms at the base of the thumb, which is of particular concern in younger patients who may someday come to revision surgery [5, 15].

Clinical Faceoff: Trapeziectomy Versus Trapezium Preservation in the Management of Basilar Thumb Arthritis