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Related Experiment Video

Updated: Jul 2, 2026

A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients
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Published on: May 26, 2026

Postoperative best practice for thumb carpometacarpal joint replacement : a Delphi consensus study.

Nicole Leah Lyons1, Shannon Halmkan2, Victoria Jansen3

  • 1University Hospitals Tees, James Cook University Hospital, Middlesbrough, UK.

Bone & Joint Open
|June 30, 2026
PubMed
Summary

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This summary is machine-generated.

This study provides expert consensus on thumb carpometacarpal joint replacement (CMCJR) recovery. It outlines best practices for postoperative care and return-to-activity timelines for patients undergoing CMCJR surgery.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Rehabilitation

Background:

  • Thumb carpometacarpal joint replacement (CMCJR) is increasingly used for thumb base osteoarthritis.
  • Current literature shows significant variation in postoperative management protocols and return-to-function timelines.
  • There is a need for standardized, evidence-based guidance for managing patients post-CMCJR.

Purpose of the Study:

  • To establish consensus-based best practice guidelines for the postoperative management of thumb CMCJR.
  • To define clear timescales for patients to return to normal activities and function after CMCJR surgery.

Main Methods:

  • A three-round modified Delphi process involving 16 UK and European hand surgeons and therapists.
  • Literature review and patient consultation informed the initial survey development.

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  • Consensus was defined as ≥ 70% agreement among participants.

    • Main Results:

    • Consensus reached on immediate postoperative protection (10-14 days) and the necessity of radiographs.
    • Agreement on using bulky bandages allowing restricted movement, splinting, and initiating range of motion exercises.
    • Defined return-to-driving at 4 weeks, light tasks at 2 weeks, moderate tasks at 4 weeks, and heavy tasks at 6-8 weeks.

    Conclusions:

    • This Delphi study successfully developed consensus guidelines for thumb CMCJR postoperative care, including functional recovery timelines.
    • These guidelines will aid clinics, especially in the UK, adopting this surgical technique.
    • Further research is needed to clarify optimal timing and frequency for postoperative radiographs.