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


Our world-class orthopedic surgeons have years of experience treating hand conditions. We believe that even the simplest problems should be evaluated by a specialist.

Personalized care

As our patient, you will have an in-depth consultation with one of our doctors. We will create an individualized treatment plan together, tailored to your problem and lifestyle. Our doctors prefer non-invasive treatments whenever possible, including physical therapy and/or injections. If your problem ultimately does require surgery, our doctors prefer the least invasive surgical techniques possible. Our goals are the same as yours: to get you back to living your best life, pain free. 

Get in touch

Please contact us using the below form or call (973) 898-5999 to request an appointment today.