Osteo-arthritis of the trapeziometacarpal joint

A review of a group of 87 patients with osteo-arthritis of the trapeziometacarpal joint is presented and the results of treatment by non-surgical means and by excision of the trapezium, by arthrodesis of the trapeziometacrapal joint and by prosthetic replacement are reviewed. Indications and contra-indications to surgery, as revealed by this series, and the type of operation best carried out in individual cases, are discussed. The common association of a median carpal tunnel syndrome, which should receive prior treatment, is emphasised.