Basal Joint Arthritis Treated With Partial Trapeziectomy and Mini TightRope

Osteoarthritis of the first carpometacarpal (CMC) joint, particularly prevalent among elderly females, significantly impacts hand functionality essential for daily activities, encompassing movements like flexion, extension, and opposition. While traditional management primarily involves suspensionplasty post full or partial trapeziectomy and QuickDASH questionnaire, the Visual Analogue Scale (VAS) for pain, and measurements of pinch strength. The average follow-up duration post-index surgery was 3.5 years. 

Although previous study revealed that tightrope does not improve functional benefit in the short-term when compared to the arthrodesis alone, our case showed fair mid-term clinical outcomes in this group. 

larger-scale with longer-term patient follow-up is needed for this novel procedure to see whether it is beneficial in the long run.