Surgical technique| Volume 39, ISSUE 2, P362-367, February 2014

Download started.


Modified Technique for Basilar Thumb Osteoarthritis

      The arthroplasty described by Weilby is a reliable procedure for the treatment of stage 2 and 3 basal thumb osteoarthritis. Although the technique provides good pain relief, optimal thumb mobility, and acceptable levels of grip and pinch strength in most cases, it is common to see the thumb collapsing because the interposed knot has disassembled. We have found a more effective way to prepare and stabilize that interposition material. With this modification, we have had less thumb subsidence than with the original technique.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Hand Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Wolf J.M.
        • Delaronde S.
        Current trends in nonoperative and operative treatment of trapeziometacarpal osteoarthritis: a survey of US hand surgeons.
        J Hand Surg Am. 2012; 37: 77-82
        • Elfar J.C.
        • Burton R.I.
        Ligament reconstruction and tendon interposition for thumb basal arthritis.
        Hand Clin. 2013; 29: 15-25
        • Vermeulen G.M.
        • Slijper H.
        • Feitz R.
        • Hovius S.E.
        • Moojen T.M.
        • Selles R.W.
        Surgical management of primary thumb carpometacarpal osteoarthritis: a systematic review.
        J Hand Surg Am. 2011; 36: 157-169
        • Vadstrup L.S.
        • Schou L.
        • Boeckstyns M.E.
        Basal joint osteoarthritis of the thumb treated with Weilby arthroplasty: a prospective study on the early postoperative course of 106 consecutive cases.
        J Hand Surg Eur Vol. 2009; 34: 503-505
        • Vermeulen G.M.
        • Brink S.M.
        • Sluiter J.
        • Elias S.G.
        • Hovius S.E.
        • Moojen T.M.
        Ligament reconstruction arthroplasty for primary thumb carpometacarpal osteoarthritis (Weilby technique): prospective cohort study.
        J Hand Surg Am. 2009; 34: 1393-1401
        • Davis T.R.
        • Brady O.
        • Dias J.J.
        Excision of the trapezium for osteoarthritis of the trapeziometacarpal joint: a study of the benefit of ligament reconstruction or tendon interposition.
        J Hand Surg Am. 2004; 29: 1069-1077
        • Garcia-Elias M.
        Excisional arthroplasty for scaphotrapeziotrapezoidal osteoarthritis.
        J Hand Surg Am. 2011; 36: 516-520
        • Gangopadhyay S.
        • McKenna H.
        • Burke F.D.
        • Davis T.R.
        Five- to 18-year follow-up for treatment of trapeziometacarpal osteoarthritis: a prospective comparison of excision, tendon interposition, and ligament reconstruction and tendon interposition.
        J Hand Surg Am. 2012; 37: 411-417
        • Li Y.K.
        • White C.
        • Ignacy T.A.
        • Thoma A.
        Comparison of trapeziectomy and trapeziectomy with ligament reconstruction and tendon interposition: a systematic literature review.
        Plast Reconstr Surg. 2011; 128: 199-207
        • Clark C.B.
        Complications after the usual excision of the trapezium, tendon interposition, and stabilization of the base of the thumb metacarpal and dorsal displacement.
        J Hand Surg Am. 2005; 30: 626