Basal Joint Arthroplasty

A procedure designed to alleviate thumb pain while preserving mobility and function of the thumb.

Basal Joint Arthroplasty

Surgery usually involves removing a small carpal bone called the trapezium that sits at the base of your thumb and is the source of pain in basal joint arthritis. Removal of this bone does not alter the mobility or function of the thumb but does alleviate your pain. Once that bone is removed, the thumb metacarpal will be suspended in a variety of ways that may involve a tendon transfer, pinning, or a tight rope suspension. All of these are appropriate options, although some may allow for earlier motion than others. Physical therapy will be a large part of your rehabilitation process regardless of the specific type of surgery done.

Basal Joint Arthroplasty

X-ray on left shows narrowing of basal joint. The trapezium bone was remove and a tight rope suspensionplasty was done.

Basal Joint Arthroplasty

X-ray on right shows thumb after surgery. The trapezium bone was remove and a tight rope suspensionplasty was done.

DRUJ Instability/Arthritis, Ulnocarpal Impaction, DIP Pinning for Mallet Finger


The orthopedic surgeons here are also specially trained in the field of hand and wrist surgery and treat all conditions, from very straightforward to the most complex. Furthermore, we believe that even the simplest problems of the hand and wrist deserve evaluation from a hand specialist who has an expertise in understanding of the intricate anatomy of the hand.

Every Patient Matters

Every patient receives an in-depth consultation to devise a treatment plan that is right for their problem. Our specialists prefer non-operative and non-invasive treatments whenever possible, including physical therapy, medications, and/or injections. When we require surgery, we will then use minimally invasive surgical techniques to fix your problem, whether it is fixing a broken bone or repairing a tendon. Our goal is always to get you back to living your life normally as soon as possible.

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Please call us at 973-898-5999.