EXCISION OF THE TRAPEZIUM IN OSTEOARTHRITIS OF THE FIRST CARPO-METACARPAL JOINT

Abstract

1. The results of excision of the trapezium for degenerative changes in the first carpometacarpal joint are given.

2. The grip is usually permanently reduced by an appreciable amount, but functional power is improved by the absence of pain.

3. The patients most commonly affected, middle-aged women, usually derive appreciable benefit.

4. Recovery after operation often takes several months.

5. Interference with the radial nerve should be preventable by modification of the incision.