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Characterizing Hand Therapy Participation Following Trapeziectomy for Carpometacarpal Osteoarthritis
Joshua K Kim1, Alyssa R Henriquez1, Hani I Naga2
1Duke University School of Medicine, Durham, NC, USA.
Hand (New York, N.Y.)
|February 16, 2026
Summary
Socioeconomic factors impact hand therapy attendance after thumb arthritis surgery. Despite fewer sessions for disadvantaged patients, functional outcomes were comparable, with consistent therapy ultimately improving function.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Rehabilitation Medicine
Background:
- Thumb carpometacarpal (CMC) arthritis often necessitates surgery when nonoperative treatments fail.
- Postoperative therapy is crucial for functional recovery after CMC arthroplasty.
- Barriers to therapy can negatively influence patient outcomes.
Purpose of the Study:
- Identify socioeconomic and functional factors affecting therapy attendance post-CMC arthroplasty.
- Analyze the relationship between therapy attendance and patient functional outcomes.
Main Methods:
- Retrospective review of 1259 patients undergoing CMC arthroplasty (2014-2024).
- Data collected included demographics, therapy visits, and PROMIS/QuickDASH scores.
- Bivariate analysis compared outcomes based on therapy session frequency and area of deprivation.
Main Results:
- 85.6% of patients attended hand therapy, averaging 4 sessions over 7.4 weeks.
- Socioeconomically disadvantaged patients had fewer visits but similar functional outcomes.
- Consistent therapy attendees reported worse initial function but superior outcomes at 6 months.
Conclusions:
- High therapy attendance is observed post-CMC arthroplasty.
- Socioeconomic status influences therapy attendance but not long-term function.
- Early functional deficits predict longer therapy engagement, leading to better long-term results.
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